The Anatomy of the Dorsal Capsulo-Scapholunate Septum: A Cadaveric Study

Nenhuma Miniatura disponível
Citações na Scopus
Tipo de produção
article
Data de publicação
2017
DOI
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
THIEME MEDICAL PUBL INC
Autores
BURGESS, Tanya Michelle
CAMBON-BINDER, Adeline
MATHOULIN, Christophe L.
Citação
JOURNAL OF WRIST SURGERY, v.6, n.3, p.244-247, 2017
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background Tears of the dorsal radiocarpal capsule at the level of the scapholunate interosseous ligament (SLIL) have recently been described in association with predynamic scapholunate instability. Purpose The aim of this anatomical study of the dorsal capsulo-scapholunate septum (DCSS) was to examine the connection of the dorsal capsule on the SLIL and dorsal intercarpal ligament (DICL). Methods Fourteen fresh frozen wrists from seven adult cadavers were dissected through a dorsal approach. Any dorsal attachment of the DICL on the dorsal surface of the SLIL, that is, the DCSS, was identified and measured (height and width). Results The DCSS was consistently found connecting the DICL, the dorsal radiocarpal capsule, and the dorsal aspect of the SLIL. It was formed by the confluence of three arches like intersecting ribs in gothic architecture. The mean dimensions of the DCSS were 5.8mm in height and 4.0mm in maximum width. Conclusion The DCSS that connects the SLIL with the dorsal capsule and DICL could be a constant structure of dorsal wrist. Further investigation is required to study the histology of the DCSS and its biomechanical properties in isolation to know whether the DCSS can be considered a secondary stabilizer of the scapholunate ligament complex. Clinical Relevance A better anatomical knowledge of scapholunate ligament complex could help understand and manage instability of the wrist.
Palavras-chave
dorsal capsulo-scapholunate septum, dorsal wrist capsule, scapholunate instability, scapholunate ligament
URI
https://observatorio.fm.usp.br/handle/OPI/21573
Referências
  1. Berger RA, 1996, J HAND SURG-AM, V21A, P170, DOI 10.1016/S0363-5023(96)80096-7
  2. Berger RA, 1999, HAND CLIN, V15, P393
  3. Berger R A, 1991, BIOMECHANICS WRIST J, P1
  4. Binder Adeline Cambon, 2013, J Wrist Surg, V2, P160, DOI 10.1055/s-0032-1333426
  5. BLATT G, 1987, HAND CLIN, V3, P81
  6. Buijze GA, 2011, J HAND SURG-AM, V36A, P1926, DOI 10.1016/j.jhsa.2011.09.012
  7. Elsaidi GA, 2004, CLIN ORTHOP RELAT R, P152, DOI 10.1097/01.blo.0000136836.78049.45
  8. Geissler W B., 2005, WRIST ARTHROSCOPY, P86, DOI 10.1007/0-387-27087-6_12
  9. Kuo CE, 2008, J HAND SURG-AM, V33A, P998, DOI 10.1016/j.jhsa.2008.04.027
  10. LAVERNIA CJ, 1992, J HAND SURG-AM, V17A, P354, DOI 10.1016/0363-5023(92)90419-P
  11. Mathoulin CL, 2011, HAND CLIN, V27, P563, DOI 10.1016/j.hcl.2011.07.003
  12. Messina Jane C, 2013, J Wrist Surg, V2, P105, DOI 10.1055/s-0033-1345265
  13. Mitsuyasu H, 2004, J HAND SURG-AM, V29A, P279, DOI 10.1016/j.jhsa.2003.11.004
  14. MIZUSEKI T, 1989, J HAND SURG-BRIT EUR, V14B, P91, DOI 10.1016/0266-7681(89)90025-9
  15. NORTH ER, 1988, J HAND SURG-AM, V13A, P815, DOI 10.1016/0363-5023(88)90253-5
  16. SAVELBERG HHCM, 1992, J BIOMECH, V25, P369, DOI 10.1016/0021-9290(92)90256-Z
  17. Van Overstraeten L., 2009, CHIRURG LIGAMENTAIRE, P105
  18. Van Overstraeten L, 2013, J WRIST SURG
  19. Viegas SF, 1999, J HAND SURG-AM, V24A, P456, DOI 10.1053/jhsu.1999.0456
  20. Wahegaonkar Abhijeet L, 2013, J Wrist Surg, V2, P141, DOI 10.1055/s-0033-1341582
  21. WINTMAN BI, 1995, J HAND SURG-AM, V20A, P971, DOI 10.1016/S0363-5023(05)80145-5

Coleções
Artigos e Materiais de Revistas Científicas - HC/IOT