Arthroscopic volar capsuloligamentous repair

Area of Science:

• Orthopedic Surgery
• Arthroscopy
• Wrist Anatomy

Background:

• The palmar aspect of the wrist's capsuloligamentous complex is surgically challenging via open approaches.
• Existing methods may not adequately address palmar ligamentous injuries.
• The space of Poirier is crucial for wrist stability.

Purpose of the Study:

• To present an all-inside arthroscopic suturing technique for palmar wrist ligament repair.
• To enable safe suturing of palmar scapholunate (SL) and lunotriquetral (LT) ligaments.
• To facilitate arthroscopic plication of the space of Poirier.

Main Methods:

• An all-inside arthroscopic technique was employed.
• Eight palmar scapholunate ligaments were repaired.
• Four major tears of the volar capsuloligamentous complex, associated with perilunate dislocations, were addressed.

Main Results:

• The described arthroscopic technique was performed without intraoperative or postoperative complications.
• The repair of palmar SL and LT ligaments and the space of Poirier was successfully achieved.
• The study could not isolate the effects of the palmar repair from other treatments for associated pathologies.

Conclusions:

• The presented arthroscopic technique offers a safe method for suturing palmar SL and LT ligaments.
• This technique allows for effective arthroscopic repair of the space of Poirier.
• No specialized equipment is required for this all-inside arthroscopic wrist repair procedure.