Scaphoid Safety Scapholunate Ligament Reconstruction for Unrepairable Scapholunate Ligament Injury: A Case Report
Tulyapruek Tawonsawatruk MD, PhD1, Panithan Tuntiyatorn MD1,2, Thepparat Kanchanathepsak MD1
Affiliation : 1 Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 2 Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
This case study describes a scaphoid safety procedure for scapholunate [SL] ligament reconstruction in a 33 year old woman diagnosed with SL injury. She presented with wrist pain and discomfort for 3 months after a wrist injury. Arthroscopic diagnosis confirmed an SL injury, Geissler’s classification grade 3. Due to poor ligamentous quality, the authors decided to perform a scaphoid safety SL reconstruction using a double anchor technique which avoids the requirement to make a tunnel through the scaphoid. Her symptoms improved after the operation and she returned to normal activity within 3 months. At the 1 year follow-up, grip strength at the operated side was close to the normal hand.
Keywords : Scapholunate ligament injury, Scapholunate ligament reconstruction
