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Scaphoid non-union? SLIL ( Scapho -Lunate Interosseus Ligament) avulsion?

Scaphoid non-union? SLIL ( Scapho -Lunate Interosseus Ligament) avulsion?. 29 year male Wrist pain Wrist ROM = N History of out stretch hand falling 6 m. ago. P/E: Tenderness distal to Lister tub. Watson test + Lateral X ray is not availa ble at the moment. What is your decision?

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Scaphoid non-union? SLIL ( Scapho -Lunate Interosseus Ligament) avulsion?

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  1. Scaphoid non-union?SLIL (Scapho-Lunate Interosseus Ligament) avulsion?

  2. 29 year male • Wrist pain • Wrist ROM = N • History of out stretch hand falling 6 m. ago

  3. P/E: • Tenderness distal to Lister tub. • Watson test + Lateral X ray is not available at the moment

  4. What is your decision? • Matti-Russ technique • ORIF vascularised BG • Open reduction – Repair • Open reduction – Dorsal capsulodesis • Open reduction – Lig reconstruction • Excision of fragment • Carpal limited arthrodesis

  5. Lunate Scaphoid

  6. Avulsion Bone

  7. Reduction of the fragment

  8. Anchor suturing

  9. Lunate Scaphoid

  10. Lateral view After insertion of first anchore Befor reduction

  11. Lateral view After insertion of second anchore after reduction

  12. Post-Op Xray

  13. 4 months post operation

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