SLD: Acute Ligament Tear - Repair Technique



- See: Ligaments of the Wrist

- Discussion:
- dorsal incision is centered of Lister's tubercle;
- dorsal capsule is reflected in line with the skin incision;
- radial capsule is reflected from the scaphoid to its waist;
- reduce lunate and scaphoid w/ K wire;
- joysticks inserted in a dorsal to palmar direction;
- rim of the scaphoid is fresened to subcortical bone w/ small, high speed burr;
- when the ligament is attached to the lunate (the usual case), holes are drilled from the waist of the scaphoid in a proximal and medial direction to exit at scapholunate articulation;
- sutures are placed in the scapholunate ligament, volar to distal


Chronic capitolunate instability

Radial shortening for Kienbock disease

Carpometacarpal dislocations. Long-term follow-up.



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

Last updated by Data Trace Staff on Tuesday, November 27, 2012 12:45 pm