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J Hand Microsurg 2019; 11(S 01): S53-S58
DOI: 10.1055/s-0039-1683943
Technical Note
Thieme Medical and Scientific Publishers Private Ltd.

Extensor Carpi Radialis Longus Tenodesis Using a Biotenodesis Screw for Treatment of Symptomatic Geissler 2 Scapholunate Dissociation

Andrew Stone
1   Department of Trauma and Orthopaedics, Ashford & St Peters Hospitals NHS Foundation Trust, Chertsey, Surrey, United Kingdom
,
Zuhaib Shahid
1   Department of Trauma and Orthopaedics, Ashford & St Peters Hospitals NHS Foundation Trust, Chertsey, Surrey, United Kingdom
,
Sujit Agarwal
1   Department of Trauma and Orthopaedics, Ashford & St Peters Hospitals NHS Foundation Trust, Chertsey, Surrey, United Kingdom
,
Tanaya Sarkhel
1   Department of Trauma and Orthopaedics, Ashford & St Peters Hospitals NHS Foundation Trust, Chertsey, Surrey, United Kingdom
› Author Affiliations Funding None.
Further Information

Publication History

Received: 19 July 2018

Accepted after revision: 01 February 2019

Publication Date:
19 May 2019 (online)

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Abstract

Treatment of scapholunate dissociation (SLD) depends on the degree of injury. We present our technique of extensor carpi radialis longus (ECRL) tenodesis for Geissler grade 2 SLD and our preliminary results. After arthroscopic confirmation of Geissler grade 2 SLD, we use a single incision and a polyetheretherketone (PEEK) anchor, attaching half of the ECRL tendon to the scaphoid. Preliminary results include improvements in QDASH, QDASH (work) and QDASH (sports/music), a median satisfaction level of 4/5 (satisfied), and a low complication rate. Our method is a safe, reproducible, and effective treatment of symptomatic Geissler grade 2 SLD that has failed nonoperative management, with technical advantages over alternative methods in the literature.

Keywords

scapholunate - extensor carpi radialis longus - tenodesis - biotenodesis - Geissler grade 2
 

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