BACKGROUNDS This paper describes a novel method in treatment of scapholunate dissociation accompanied with rotatory subluxation of the scaphoid. The idea of this method is to create a kind of axial lever that can fully reconstruct anatomical relationship between the scaphoid and the lunate, with no involvement of extrinsic ligaments, and with simultaneous restriction of pathological alignment o...

Injuries to the scapholunate joint are the most frequent cause of carpal instability and account for a considerable degree of wrist dysfunction, lost time from work, and interference with activities. The complex arrangement and kinematics of the 2 rows of carpal bones allows for an enormous degree of physiologic motion, and a hierarchy of primary and secondary ligaments serves to balance an inh...

The authors retrospectively compared the diagnostic accuracy of clinical examination and magnetic resonance imaging for intra-articular wrist pathology (triangular fibrocartilage complex, lunotriquetral and scapholunate injuries), using wrist arthroscopy as the gold standard. Sixty-six patients had clinical examination and arthroscopy; 38 of them also had magnetic resonance imaging. The diagnos...

Injuries to the scapholunate complex present the surgeon with both diagnostic and treatment dilemmas. The anatomic features, biomechanical properties, radiographic appearance, and surgical treatment algorithms of this small but structurally and kinematically important joint continue to be refined. A thorough history and physical examination, combined with a radiographic evaluation that can incl...

Scapholunate joint takes approximately 80% of axial and rotational wrist load. Lesion of scaphoid ligaments leads to its instability especially in dorsal flexion and ulnar deviation mechanism. Increase of scapholunate gap can be found in 19% of patient with wrist injury, 2 of them needs surgical intervention because of severe instability. In 2002 to 2005 in Traumatology, Orthopedics and Hand Su...

We treated a prospective series of 18 patients (nine men and nine women) with a mean age of 35 years (range 15 to 57), with chronic predynamic or dynamic scapholunate instability by a dorsal intercarpal ligament capsulodesis using the modified Mayo technique. All the patients were assessed by the modified Mayo wrist score and DASH questionnaire. Wrist arthroscopy was done in all patients before...

Scapholunate dissociation (SLD) is the commonest cause of carpal instability and wrist osteoarthrosis. The value of early diagnosis and treatment of this injury is well established in the literature. When a partial or total rupture of the scapholunate ligament is treated with early anatomic reduction and repair, functional results may be good to excellent. However, if this ligament is not addre...