Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jul 3, 2025

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Published on: May 23, 2025

Modified Brunelli Reconstruction for Scapholunate Ligament Dissociation.

¹Vanderbilt University Medical Center, Nashville, Tennessee.

JBJS Essential Surgical Techniques

|February 15, 2024

Summary

The modified Brunelli reconstruction, a 3-ligament tenodesis, effectively treats irreparable scapholunate dissociation by restoring wrist function and strength. This surgical technique offers good pain relief and reproducible outcomes for patients with this wrist injury.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Grit: what is it and why does it matter in medicine?

Postgraduate medical journal·2023

Same author

Grit: what is it and why does it matter in medicine?

Postgraduate medical journal·2023

Same author

Intraoperative use of impact microindentation to assess distal radius bone quality.

The Review of scientific instruments·2022

Same author

The Relationships Between Grit, Burnout, and Demographic Characteristics in Medical Students.

Psychological reports·2022

Same author

Is Grit Associated with Burnout and Well-being in Orthopaedic Resident and Faculty Physicians? A Multi-institution Longitudinal Study Across Training Levels.

Clinical orthopaedics and related research·2021

Same author

Flexor Compartment Infection Secondary to Bovine Injection Needlestick Injury: A Case Report.

JBJS case connector·2020

Area of Science:

Orthopedic Surgery
Hand and Wrist Surgery
Reconstructive Surgery

Background:

Irreparable scapholunate dissociation presents a significant challenge in wrist surgery.
The modified Brunelli reconstruction, also known as 3-ligament tenodesis, is a specific surgical approach for this condition.
This technique is indicated when the scapholunate ligament is disrupted beyond repair, but the carpus is free of arthritis.

Purpose of the Study:

To describe the surgical technique, alternatives, and outcomes of the modified Brunelli reconstruction.
To detail the indications and methodology for treating irreparable scapholunate dissociation.
To provide an overview of the functional recovery and pain management associated with this procedure.

Main Methods:

The modified Brunelli reconstruction involves using a distally based flexor carpi radialis tendon graft.

More Related Videos

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears

Published on: May 9, 2025

Related Experiment Videos

Last Updated: Jul 3, 2025

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Published on: May 23, 2025

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears

Published on: May 9, 2025

The tendon is passed through a transosseous tunnel in the scaphoid and secured to the dorsal wrist capsule.

This reconstructs the dorsal scapholunate ligament and corrects scaphoid rotation.

Main Results:

The procedure restores 70%–80% of wrist motion and 65%–75% of grip strength compared to the uninjured wrist.
Approximately 70%–80% of patients experience good pain relief.
The technique is reproducible with standard surgical instruments and fluoroscopy.

Conclusions:

The modified Brunelli reconstruction is an effective treatment for irreparable scapholunate dissociation.
It offers significant functional recovery and pain reduction.
The technique is technically straightforward and yields reliable results.