Early results of a modified brunelli procedure for scapholunate instability
Twenty-two patients with a diagnosis of scapholunate instability underwent a modified Brunelli procedure. The overall results of this short follow-up study showed that a majority of patients (17 out of 22) had relief of pain. Grip strength recovered well. Postoperative range of motion was reduced in...
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Published in | Journal of hand surgery, British volume Vol. 23; no. 2; pp. 258 - 261 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
London, England
Elsevier Ltd
01.04.1998
SAGE Publications |
Subjects | |
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Abstract | Twenty-two patients with a diagnosis of scapholunate instability underwent a modified Brunelli procedure. The overall results of this short follow-up study showed that a majority of patients (17 out of 22) had relief of pain. Grip strength recovered well. Postoperative range of motion was reduced in extension and flexion, remained unchanged for radial deviation and improved for ulnar deviation. The radiological appearance of dynamic or static scapholunate instability did not change after the procedure. Most patients (17 out of 22) felt subjective improvement and would have the operation again. A significantly poorer result was seen in those patients with an unresolved medicolegal claim. Although short-term results are encouraging for some patients, the authors feel that more long-term follow-up is needed before recommending the procedure. |
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AbstractList | Twenty-two patients with a diagnosis of scapholunate instability underwent a modified Brunelli procedure. The overall results of this short follow-up study showed that a majority of patients (17 out of 22) had relief of pain. Grip strength recovered well. Postoperative range of motion was reduced in extension and flexion, remained unchanged for radial deviation and improved for ulnar deviation. The radiological appearance of dynamic or static scapholunate instability did not change after the procedure. Most patients (17 out of 22) felt subjective improvement and would have the operation again. A significantly poorer result was seen in those patients with an unresolved medicolegal claim. Although short-term results are encouraging for some patients, the authors feel that more long-term follow-up is needed before recommending the procedure. |
Author | Van Den Abbeele, K.L.S. Loh, Y.C. Stanley, J.K. Trail, I.A. |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/9607676$$D View this record in MEDLINE/PubMed |
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References | Boabighi, Kuhlmann, Kenesi (bib2) 1993; 18B Wintman, Gelberman, Katz (bib7) 1995; 20A Green (bib4) 1993; Vol. 1 Watson, Ashmead, Makhlouf (bib5) 1988; 13A Blatt (bib1) 1987; 3 Brunelli, Brunelli (bib3) 1995; 20A Watson, Ottoni, Pitts, Handal (bib6) 1993; 18B Blatt G (b1-10.1016_s0266-7681_98_80191-5) 1987; 3 b2-10.1016_s0266-7681_98_80191-5 b6-10.1016_s0266-7681_98_80191-5 Green DP (b4-10.1016_s0266-7681_98_80191-5) 1993; 1 b3-10.1016_s0266-7681_98_80191-5 b5-10.1016_s0266-7681_98_80191-5 b7-10.1016_s0266-7681_98_80191-5 |
References_xml | – volume: 20A start-page: 971 year: 1995 end-page: 979 ident: bib7 article-title: Dynamic scapholunate instability: results of operative treatment with dorsal capsulodesis publication-title: Journal of Hand Surgery contributor: fullname: Katz – volume: Vol. 1 start-page: 861 year: 1993 end-page: 928 ident: bib4 article-title: Carpal dislocations and instabilities publication-title: Operative hand surgery contributor: fullname: Green – volume: 3 start-page: 81 year: 1987 end-page: 102 ident: bib1 article-title: Dorsal capsulodesis for the unstable scaphoid and volar capsulodesis following excision of the distal ulna publication-title: Hand Clinics contributor: fullname: Blatt – volume: 20A start-page: S82 year: 1995 end-page: S85 ident: bib3 article-title: A new technique to correct carpal instability with scaphoid rotatory subluxation: a preliminary report publication-title: Journal of Hand Surgery contributor: fullname: Brunelli – volume: 13A start-page: 657 year: 1988 end-page: 660 ident: bib5 article-title: Examination of the scaphoid publication-title: Journal of Hand Surgery contributor: fullname: Makhlouf – volume: 18B start-page: 62 year: 1993 end-page: 64 ident: bib6 article-title: Rotatory subluxation of the scaphoid: a spectrum of instability publication-title: Journal of Hand Surgery contributor: fullname: Handal – volume: 18B start-page: 65 year: 1993 end-page: 69 ident: bib2 article-title: The distal ligamentous complex of the scaphoid and the scapholunate ligament. An anatomic, histological and biomechanical study publication-title: Journal of Hand Surgery contributor: fullname: Kenesi – ident: b5-10.1016_s0266-7681_98_80191-5 doi: 10.1016/S0363-5023(88)80118-7 – ident: b3-10.1016_s0266-7681_98_80191-5 doi: 10.1016/S0363-5023(95)80175-8 – ident: b6-10.1016_s0266-7681_98_80191-5 doi: 10.1016/0266-7681(93)90199-P – ident: b2-10.1016_s0266-7681_98_80191-5 doi: 10.1016/0266-7681(93)90200-Y – volume: 1 start-page: 861 volume-title: Operative hand surgery year: 1993 ident: b4-10.1016_s0266-7681_98_80191-5 contributor: fullname: Green DP – volume: 3 start-page: 81 year: 1987 ident: b1-10.1016_s0266-7681_98_80191-5 publication-title: Hand Clinics doi: 10.1016/S0749-0712(21)00637-5 contributor: fullname: Blatt G – ident: b7-10.1016_s0266-7681_98_80191-5 doi: 10.1016/S0363-5023(05)80145-5 |
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SubjectTerms | Adult Bone Wires Carpal Bones - diagnostic imaging Carpal Bones - injuries Carpal Bones - surgery Female Follow-Up Studies Hand Strength - physiology Humans Joint Dislocations - diagnostic imaging Joint Dislocations - surgery Joint Instability - diagnostic imaging Joint Instability - surgery Lunate Bone - diagnostic imaging Lunate Bone - injuries Lunate Bone - surgery Male Middle Aged Motor Skills - physiology Postoperative Complications - diagnostic imaging Radiography Range of Motion, Articular - physiology Treatment Outcome Wrist Injuries - diagnostic imaging Wrist Injuries - surgery |
Title | Early results of a modified brunelli procedure for scapholunate instability |
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