title: Scapholunate interosseous ligament disruption in professional basketball players: treatment by direct repair and dorsal ligamentoplasty.
abstract: In the authors' experience scapholunate interosseous ligament (SLIL) disruption with resultant scapholunate dissociation (SLD) is the most frequent disabling carpal injury among professional basketball players. Prompt diagnosis, precision surgical repair, and intensive sport-specific rehabilitation are requisites for optimal recovery. This article reports the techniques and results of a consistent surgical protocol comprising accurate carpal reduction, direct SLIL repair, and dorsal intercarpal ligament augmentation for 25 professional basketball players with disabling SLD. Follow-up assessment supports the contention that early surgery, prior to scar contracture, facilitates treatment and enhances outcome.
authors.affiliation: Division of Hand Surgery, Department of Orthopaedic Surgery, Beth Israel Medical Center, Albert Einstein College of Medicine, The Hand Surgery Center, 321 East 34th Street, New York, NY 10016, USA. cmelone@chpnet.org
authors.forename: Charles P
authors.initials: CP
authors.lastname: Melone
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Polatsch
authors.forename: Gary
authors.initials: G
authors.lastname: Flink
authors.forename: Bradley
authors.initials: B
authors.lastname: Horak
authors.forename: Steven
authors.initials: S
authors.lastname: Beldner
mesh_terms: D000328:Adult; D001490:Basketball / Q000293:injuries*; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery*; D012667:Lunate Bone / Q000293:injuries / Q000601:surgery; D008297:Male; D010003:Osteoarthritis; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures; D021361:Scaphoid Bone / Q000293:injuries / Q000601:surgery; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000175:diagnosis / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery*