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J Hand Microsurg
DOI: 10.1055/s-0043-1769749
Case Report

Arthroscopical Reinforcement of an Isolated Insufficiency of the Radioscaphocapitate Ligament to Treat Dynamic Radioscaphoid Instability: A Case Report

Chul Ki Goorens 
1   Department of Orthopaedics and Traumatology, Regionaal Ziekenhuis Tienen, Kliniekstraat, Tienen, Belgium
,
Niels Debaenst 
2   Department of Orthopaedics and Traumatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Laarbeeklaan, Brussels, Belgium
,
Kjell Van Royen
2   Department of Orthopaedics and Traumatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Laarbeeklaan, Brussels, Belgium
3   Department of Orthopaedics and Traumatology, OLV Aalst, Moorselbaan, Aalst, Belgium
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Abstract

The radioscaphocapitate ligament is part of the stabilizatory complex of the scaphoid. Isolated injury resulting in persistent radioscaphoid instability is rarely reported. The authors propose a technique for arthroscopic reinforcement. Magnetic resonance, dynamic fluoroscopy, and wrist arthroscopy will confirm the elongation of radioscaphocapitate ligament. Under arthroscopic control, an anchor can be drilled into the radial aspect of the scaphoid to tension the ligament toward the anchor. An arthroscopic reinforcement of the radioscaphocapitate ligament may resolve a persistent radioscaphoid instability due to elongation.

Keywords

wrist arthroscopy - radioscaphocapitate ligament - extrinsic ligaments - reinforcement - instability

Authors' Contributions

CKG (surgeon) wrote the manuscript. ND and KVR assisted in manuscript writing. All authors have met the ICMJE criteria for authorship.




Publication History

Article published online:
13 June 2023

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