Abstract
As discussed in the chapter 14, the role of the dorsal intercarpal ligament (DIC) and dorsal radiocarpal ligament (DRC) in the maintenance of carpal stability is becoming increasingly recognized. Modern imaging and arthroscopic techniques enable the assessment and treatment of injuries to the dorsal capsular ligaments. In this chapter, we describe the RADICL (Repair/Augmentation of Dorsal Intercarpal Ligament) procedure, an arthroscopic or open repair of these critical wrist stabilisers.
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References
Viegas SF, Yamaguchi S, Boyd NL, Patterson RM. The dorsal ligaments of the wrist: anatomy, mechanical properties, and function. J Hand Surg Am. 1999;24:456–68.
Nagao S, Patterson RM, Buford WL, Andersen CR, Shah MA, Viegas SF. Three-dimensional description of ligamentous attachments around the lunate. J Hand Surg Am. 2005;30(4):685–92. https://doi.org/10.1016/j.jhsa.2005.03.002.
Wessel LE, Kim J, Morse KW, Loisel F, Koff MF, Breighner R, Doty S, Wolfe SW. The dorsal ligament complex: a cadaveric, histology and imaging study. J Hand Surg. 2021. (in press).
Pérez AJ, Jethanandani RG, Vutescu ES, Meyers KN, Lee SK, Wolfe SW. Role of ligament stabilizers of the proximal carpal row in preventing dorsal intercalated segment instability: a cadaveric study. J Bone Joint Surg Am. 2019;101(15):1388–96. https://doi.org/10.2106/JBJS.18.01419.
Mayfield J. Mechanism of carpal injuries. Clin Orthop Relat Res. 1980;149:45–54.
Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg Am. 1980;5(3):226–41. https://doi.org/10.1016/S0363-5023(80)80007-4.
Watson HK, Ballet FL. The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis. J Hand Surg Am. 1984;9(3):358–65. https://doi.org/10.1016/S0363-5023(84)80223-3.
Mitsuyasu H, Patterson RM, Shah M. The role of the dorsal intercarpal ligament in dynamic and static scapholunate instability. J Hand Surg Am. 2004;29(2):279–88.
Overstraeten L, Camus E, Wahegaonkar A, Messina J, Tandara A, Binder A, et al. Anatomical description of the dorsal capsulo-scapholunate septum (DCSS)—arthroscopic staging of scapholunate instability after DCSS sectioning. J Wrist Surg. 2013;2:149–54.
Mathoulin C. Treatment of dynamic scapholunate instability dissociation: contribution of arthroscopy. Hand Surg Rehabil. 2016;35(6):377–92. https://doi.org/10.1016/j.hansur.2016.09.002.
Bednar JM. Acute scapholunate ligament injuries. Hand Clin. 2015;31(3):417–23. https://doi.org/10.1016/j.hcl.2015.04.001.
Corella F, del Cerro M, Ocampos M, Larrainzar-Garijo R. Arthroscopic ligamentoplasty of the dorsal and volar portions of the scapholunate ligament. J Hand Surg Am. 2013;38(12):2466–77. https://doi.org/10.1016/j.jhsa.2013.09.021.
Carratalá V, Lucas FJ, Miranda I, Prada A, Guisasola E, Miranda FJ. Arthroscopic reinsertion of acute injuries of the scapholunate ligament technique and results. J Wrist Surg. 2020;9(4):328–37. https://doi.org/10.1055/s-0040-1710502.
Carratalá V, Lucas FJ, Miranda I, Sánchez Alepuz E, González Jofré C. Arthroscopic scapholunate capsuloligamentous repair: suture with dorsal capsular reinforcement for scapholunate ligament lesion. Arthrosc Tech. 2017;6(1):e113–20. https://doi.org/10.1016/j.eats.2016.09.009.
Messina J, van Overstraeten L, Luchetti R, Fairplay T, Mathoulin C. The EWAS classification of scapholunate tears: an anatomical arthroscopic study. J Wrist Surg. 2013;2(2):105–9. https://doi.org/10.1055/s-0033-1345265.
Messina J, Dreant N, Luchetti R, Lindau T, Mathoulin C. Schapho-lunate tears: a new arthroscopic classification. Chir Main. 2009;28:339–40.
del Piñal F, García-Bernal FJ, Pisani D, Regalado J, Ayala H, Studer A. Dry arthroscopy of the wrist: surgical technique. J Hand Surg Am. 2007;32(1):119–23. https://doi.org/10.1016/j.jhsa.2006.10.012.
del Piñal F. Dry arthroscopy and its applications. Hand Clin. 2011;27(3):335–45. https://doi.org/10.1016/j.hcl.2011.05.011.
Loisel F, Wessel LE, Morse KW, Victoria C, Meyers K, Wolfe SW. Is the dorsal fiber-splitting approach to the wrist safe? A kinematic analysis and introduction of the window approach. J Hand Surg. 2021. (in press).
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Williams, D., Raja, S., Ross, M., Couzens, G., Wolfe, S.W. (2022). The RADICL Procedure: Repair/Augmentation of Dorsal Intercarpal Ligament. In: Geissler, W.B. (eds) Wrist and Elbow Arthroscopy with Selected Open Procedures. Springer, Cham. https://doi.org/10.1007/978-3-030-78881-0_18
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DOI: https://doi.org/10.1007/978-3-030-78881-0_18
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