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Concepts and Artistry in the Treatment of Scapholunate Ligament Injuries

Elzinga, Kate E., M.D.; Kamnerdnakta, Sirichai, M.D.; Chung, Kevin C., M.D., M.S.

Plastic and Reconstructive Surgery: September 2018 - Volume 142 - Issue 3 - p 322e–333e
doi: 10.1097/PRS.0000000000004690
Hand/Peripheral Nerve: Original Articles

Background: Scapholunate ligament injuries are highly challenging injuries to treat. Great uncertainly remains in determining which operative procedures are most effective. Furthermore, there is no consensus on whether surgical intervention changes the natural course of scapholunate injuries.

Methods: The authors present their assessment of scapholunate injuries and the senior author’s preferred surgical techniques. Surgical videos are included. The authors’ postoperative management is described.

Results: Operative procedures are selected based on the patient’s timing and pattern of injury, degree of associated carpal changes and arthritis, and goals.

Conclusion: Over the past 20 years, the senior author has had good success with these techniques, but prospective, longterm outcome studies are needed to critically assess whether these surgical techniques improve patients’ long-term function and pain.

Ann Arbor, Mich.

From the Section of Plastic Surgery, University of Michigan Health System.

Received for publication August 27, 2018; accepted January 24, 2018.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

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Kevin C. Chung, M.D., M.S., Section of Plastic Surgery, University of Michigan Health System, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, Mich. 48109-0340, kecchung@med.umich.edu

©2018American Society of Plastic Surgeons