What is scapholunate ligament reconstruction?
Description of Technique Our technique for scapholunate (SL) reconstruction involves ligament reconstruction utilizing a portion of the flexor carpi radialis tendon rerouted via transosseous tunnels across the scaphoid, lunate, and triquetrum (scapholunotriquetral tenodesis).
Does a scapholunate tear need surgery?
If there is gapping and increased angulation between the scaphoid and lunate on x-rays, or if treatment without surgery hasn’t been successful, then surgery is warranted. If the x-rays don’t show gapping, but treatment with a cast or brace has not been successful, arthroscopy is an option.
Can wrist ligaments be repaired?
Rupture to the ligaments of the wrist can be repaired by pinning, reconstruction, or fusion depending on the severity and amount of time that has lapsed since injury. If surgery is performed within three months of injury pinning may be the best option.
How is a dorsal scapholunate (SL) ligament injury treated?
In these cases, an open repair with ligament re-attachment or suture repair and augmented pin fixation is the most reasonable approach.29,35,36,49Bone-to-bone healing is preferable compared with ligament to bone.50 Open in a separate window Fig. 9 Classification of the dorsal scapholunate (SL) ligament injury, according to Andersson-Garcia-Elias.
What are the treatment options for scapholunate instability?
Treatment for scapholunate instability is aimed at arresting the degenerative process by restoring ligament continuity and normalising carpal kinematics. Early arthroscopic diagnosis of scapholunate injury is mandatory for establishing the prognosis of the injury, as a proper ligament repair is recommended within four to six weeks after trauma.
What is an open SL repair with capsulodesis and 3LT ligament reconstruction?
Open SL repair or Re-insertion with dorsal capsulodesis as an augmentation Open SL repair with capsulodesis or 3LT ligament reconstruction or other similar ligament reconstruction Reducible: 3LT ligament reconstruction Fixed: some kind of intercarpal fusion (SL, STT) I Radial styloidectomy II 4CF or PRC III 4CF or PRC + RCPI
What happens if the scapholunate ligament is damaged?
An isolated injury to the scapholunate ligament may progress to abnormal joint mechanics and degenerative cartilage changes. Treatment for scapholunate instability is aimed at arresting the degenerative process by restoring ligament continuity and normalising carpal kinematics.