J Med Assoc Thai 2018; 101 (3):269

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Scaphoid Safety Scapholunate Ligament Reconstruction for Unrepairable Scapholunate Ligament Injury: A Case Report
Tawonsawatruk T Mail, Tuntiyatorn P , Kanchanathepsak T


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 I year follow-up, grip strength at the operated side was close to the normal hand.

Keywords: Scapholunate ligament injury, Scapholunate ligament reconstruction


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