TechniqueArthroscopic Capsulodesis for the Treatment of Dynamic Scapholunate DissociationsHaerle, Max MD*; Schmelzer-Schmied, Nicole MD†; Lampert, Florian M. MD*,‡ Author Information *Clinic for Hand and Plastic Surgery, Orthopedic Clinic Markgroeningen, Markgröningen ‡Department of Plastic and Hand Surgery, Medical Center—University of Freiburg, Freiburg, Germany †Orthopedic Practice Rosenberg/Silberturm St. Gallen, Switzerland Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Florian M. Lampert, MD, Clinic for Hand and Plastic Surgery, Orthopedic Clinic Markgroeningen, Kurt-Lindemann-Weg 10, Markgröningen 71706, Germany. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: November 16, 2022 - Volume - Issue - 10.1097/BTH.0000000000000418 doi: 10.1097/BTH.0000000000000418 Buy PAP Metrics Abstract Management of scapholunate dissociations remains a significant challenge. Open approaches suffer from a disadvantageous further impairment of the stabilizing local structures. The minimally invasive arthroscopic technique described provides reliable stability of the scapholunate interosseous ligament complex in dynamic lesions. The anatomic key structure is the dorsal capsuloligamentous scapholunate septum, which provides a mechanical connection between the scaphoid, lunate, and dorsal capsule of the wrist. Arthroscopic capsuloplasty aims to tighten and stabilize this complex structure in long term. This approach preserves the adjacent structures, namely the secondary wrist stabilizers and their neuromuscular feedback loops. With a certain degree of experience in wrist arthroscopy, the technique is reliably adaptable and reproducible. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.