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How to Perform a Complete Arthroscopic Assessment of the Scapholunate Joint Complex
Chul Ki Goorens1, Kjell Van Royen2,3, Thierry Scheerlinck3
1Department of Orthopaedics and Traumatology, International Wrist Center Tienen, Regionaal Ziekenhuis Tienen, Tienen, Belgium.
Abstract:
Scapholunate instability can result in debilitating pain, dysfunction, and secondary arthritis. Diagnosis is primarily based on a combination of clinical and radiological parameters. However, wrist arthroscopy is regarded as the gold standard for definitive confirmation to identify the extent of a scapholunate instability, with specific attention to the integrity of the extrinsic ligamentous system, which is probably more important than the intrinsic ligament. We discuss how to perform a step-by-step, comprehensive, and complete arthroscopic assessment of the entire scapholunate complex.
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