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Wheeless' Textbook of Orthopaedics

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;

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Chronic capitolunate instability

Radial shortening for Kienbock disease

Carpometacarpal dislocations. Long-term follow-up.




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