Scapholunate Ligament Reconstruction: Early Dart Throwing Motion Versus Motion in Anatomical Planes

NCT06590701 | Recruiting DMC

• 1 other identifier: SL-Reko
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Patients undergoing scapholunate ligament reconstruction at Balgrist University Hospital are divided into two groups and receive two different types of mobilisation postoperatively. The investigators will compare the outcome (pain, strength, mobility) between the two groups 1 year after the operation.

Conditions

Scapholunate Ligament Rupture

Keywords

Mobilisation; Scapholunate ligament recontruction

Outcome Measures

Primary Outcomes (8)

• Pain in resting position

  Assessment of resting pain using the VAS Score (Visual Analog Scale), where 0 indicates no pain and 10 indicates the worst pain.

  Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Pain during activity

  Assessment of pain during activity using the VAS (Visual Analog Scale), where 0 indicates no pain and 10 indicates the worst pain

  Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Mobility of the wrist: Flexion

  Assessment of wrist flexion by measuring the range of motion in degrees.

  Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Mobility of the wrist: Extension

  Assessment of wrist extension by measuring the range of motion in degrees.

  Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Mobility of the wrist: Ulnar deviation

  Assessment of wrist ulnar deviation by measuring the range of motion in degrees.

  Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Mobility of the wrist: Pronation

  Assessment of wrist pronation by measuring the range of motion in degrees.

  Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Mobility of the wrist: Supination

  Assessment of wrist supination by measuring the range of motion in degrees.

  Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Strength Assessment: Grip Strength

  Using the Jamar Hydraulic Hand Dynamometer which displays isometric grip force from 0-90 kg, grip strength will be assessed.

  Before surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

Secondary Outcomes (3)

• Recording ability to work

  Before surgery, 7 weeks after surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Recording of physical limitations

  Before surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

• Recording wrist pain and restrictions

  Before surgery, 11 weeks after surgery, 6 months after surgery, 12 months after surgery

Study Arms (2)

Early dart throwing motion

EXPERIMENTAL

From the 2nd postoperative week, the 'Dart-Throwing Motion' is started, from radial extension to ulnar flexion.

Other: Early dart throwing motion-mobilization

Mobilisation in anatomical planes

ACTIVE COMPARATOR

From the 2nd postoperative week, movements are started in the anatomical plane of the hand (standard rehabilitation)

Other: Early dart throwing motion-mobilization

Interventions

Early dart throwing motion-mobilization OTHER

We compare two different mobilisations in the rehabilitation of patients following scapholunate ligament reconstruction

Early dart throwing motion; Mobilisation in anatomical planes

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• SL Ligament reconstruction at Balgrist University Hospital
• at least 18 years
• Written informed consent

You may not qualify if:

• Age under 18 years
• Refusal of participation
• Pregnancy

Sponsors & Collaborators

• Lisa Reissner: lead

Study Sites (1)

Balgrist University Hospital

Zurich, Canton of Zurich, 8008, Switzerland

RECRUITING

Related Publications (4)

• Crisco JJ, Wilcox BJ, Beckwith JG, Chu JJ, Duhaime AC, Rowson S, Duma SM, Maerlender AC, McAllister TW, Greenwald RM. Head impact exposure in collegiate football players. J Biomech. 2011 Oct 13;44(15):2673-8. doi: 10.1016/j.jbiomech.2011.08.003. Epub 2011 Aug 27.

  PMID: 21872862 BACKGROUND

• Werner FW, Green JK, Short WH, Masaoka S. Scaphoid and lunate motion during a wrist dart throw motion. J Hand Surg Am. 2004 May;29(3):418-22. doi: 10.1016/j.jhsa.2004.01.018.

  PMID: 15140483 BACKGROUND

• Crisco JJ, Coburn JC, Moore DC, Akelman E, Weiss AC, Wolfe SW. In vivo radiocarpal kinematics and the dart thrower's motion. J Bone Joint Surg Am. 2005 Dec;87(12):2729-2740. doi: 10.2106/JBJS.D.03058.

  PMID: 16322624 BACKGROUND

• Moritomo H, Apergis EP, Herzberg G, Werner FW, Wolfe SW, Garcia-Elias M. 2007 IFSSH committee report of wrist biomechanics committee: biomechanics of the so-called dart-throwing motion of the wrist. J Hand Surg Am. 2007 Nov;32(9):1447-53. doi: 10.1016/j.jhsa.2007.08.014.

  PMID: 17996783 BACKGROUND

Study Officials

• Lisa Reissner, PD

  Balgrist University Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Lisa Reissner, PD

CONTACT

044 386 57 47; lisa.reissner@balgrist.ch

Andreas Schweizer, Prof

CONTACT

044 386 11 11; andreas.schweizer@balgrist.ch

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Dr. med.

Study Record Dates

• First Submitted: May 29, 2024
• First Posted: September 19, 2024
• Study Start: July 1, 2023
• Primary Completion (Estimated): May 31, 2028
• Study Completion (Estimated): December 31, 2028
• Last Updated: September 19, 2024

Record last verified: 2024-05

Locations

CH (1)