A modified Blatt dorsal capsulodesis in the treatment of dynamic scapholunate instability.
We report a case of scapholunate dissociation which was initially missed and presented late. A modification of Blatt dorsal capsulodesis performed using dorsal intercarpal ligament (DICL) and extra tunnel appears not only to add to dorsal stability but also address the volar problem as well. This modification may be a better alternative to the current technique of using a single flap.
Azura
Lynn
L
Hand and Microsurgery Unit, Department of Orthopaedic Surgery, University of Malaya, 50603 Kuala Lumpur.
Ahmad
T Sara
TS
Kamarul
T
T
D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery; D008297:Male; D011859:Radiography; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D014954:Wrist Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014955:Wrist Joint