Kanaan, Razan (2024) Scapholunate Diastasis in Adult Patients with Suspected Scapholunate Ligament Injury A decreasing gap. thesis, Medicine.
Full text available on request.Abstract
Introduction: The scapholunate ligament (SLL) is crucial for wrist stability, but the relationship between scapholunate gap width and ligament injury remains unclear. This study investigates scapholunate diastasis progression over ten years following suspected SLL injury and identifies risk factors for diastasis progression. Methods: Patients with a suspected SLL injury and scapholunate widening on radiographs after traumatic injury were included. Scapholunate diastasis was measured at injury, 5 years, and 10 years after the injury, and data on associated risk factors was collected. Results: A total of 35 patients were included, predominantly female (80%) with a mean age of 54 years. The average gap width post-injury was 3.6mm, decreasing to 2.6mm after 10 years. Baseline gap width was a significant predictor of diastasis progression (β = 0.675, SE = 0.199, t = 3.398, p = 0.002), while other factors like hand dominance or injury type were insignificant. Discussion: The reduction in diastasis observed, particularly in cases with larger initial gaps, might imply healing capabilities of the SLL when treated non-operatively. Further research is warranted to validate these findings and help understand the underlying mechanisms driving diastasis progression over time. Conclusion: Scapholunate diastasis may decrease over time in patients treated nonoperatively without evidence of arthritis, especially in cases with a larger initial diastasis.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | dr. med. Schäfer,, Tim R. and drs. Legerstee, Ingmar |
| Faculty: | Medical Sciences |
| Date Deposited: | 16 Oct 2024 11:37 |
| Last Modified: | 16 Oct 2024 11:37 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3768 |
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