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Wheeless' Textbook of Orthopaedics

Scapholunate Ligament Repair w/ Blatt Capsulodesis   


- Discussion:
   - injury must occur to both interosseous and capsular ligaments for rotational instability of the scaphoid to occur;
   - hence, there is a need for a capsulodesis along with interossous ligament repair to restore stability;






    - reference:
            - Repair and/or reconstruction of scapholunate interosseous ligament in lunate and perilunate dislocations.
            - Treatment of scapholunate dissociation. Rotatory subluxation of the scaphoid.
            - Scapholunate interosseous reconstruction and imbrication of palmar ligaments.
            - Preliminary lunate reduction and pinning facilitates restoration of carpal ht when treating perilunate dislocation, scaphoid frx and nonunion, and SLD.
            - Capsulodesis of the wrist for scapholunate dissociation.
            - Capsulodesis for the treatment of chronic scapholunate instability.
            - Three-Ligament Tenodesis for the Treatment of Scapholunate Dissociation: Indications and Surgical Technique.







Original Text by Clifford R. Wheeless, III, MD.