AustralieFrV1, Main, Exploration, bibRecord, 000295

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

Identifieur interne : 000295 ( Main/Exploration ); précédent : 000294; suivant : 000296

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

Auteurs : Marina Tommasini Carrara De Sambuy [Brésil] ; Tanya Michelle Burgess [Australie] ; Adeline Cambon-Binder [France] ; Christophe L. Mathoulin [France]

Source :

Journal of wrist surgery [ 2163-3916 ] ; 2017.

RBID : pubmed:28725508

Abstract

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 5.8 mm in height and 4.0 mm 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.

DOI: 10.1055/s-0036-1597922
PubMed: 28725508

Affiliations:

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<front><div type="abstract" xml:lang="en">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 5.8 mm in height and 4.0 mm 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.</div>
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The Anatomy of the Dorsal Capsulo-Scapholunate Septum: A Cadaveric Study.

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

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