Collapse after Carpal Bone Tunneling. An Underreported Complication?

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del Piñal, F
Williams, DC
Viegas, R
Lim, JX
Cerezal, L
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2023
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Abstract

Purpose: To report the complication of carpal bone tunnel collapse in scapholunate reconstruction. Methods: The authors present six cases of carpal collapse or bone necrosis after bone tunneling for ligamentous reconstruction, three in the scaphoid bone and three in the lunate. Results: All six cases were secondary to ligament reconstruction for chronic scapholunate dissociations, none of which had preoperative structural scaphoid or lunate deformities. Conclusions: Although the incidence of this occurrence is unknown, the consequences could be substantial; therefore, patients should be warned of this possibility when discussing complications of ligament reconstruction for chronic scapholunate instability requiring the creation of a bone tunnel. Type of study/level of evidence: Therapeutic V.

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The Journal of Hand Surgery
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Surgery
Clinical sciences
Allied health and rehabilitation science
Bone necrosis
bone tunnels
carpal bone collapse
scapholunate advance collapse
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del Piñal, F; Williams, DC; Viegas, R; Lim, JX; Cerezal, L, Collapse after Carpal Bone Tunneling. An Underreported Complication?, The Journal of Hand Surgery, 2023
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