Seven patients with chronic scapholunate instability (Geissler grade 2–4) were treated by percutaneous placement of screws across the scapholunate joint after arthroscopic debridement of the remnants of the scapholunate ligament. In all seven cases, the screw caused partial destruction of the lunate and/or scaphoid requiring screw removal within 6 months. We no longer perform this procedure.
AvilesAJLeeSKHausmanMR. Arthroscopic reduction-association of the scapholunate. Arthroscopy, 2007, 23(105): e1–5.
2.
BaratzMEDunnMJ. Ligament injuries and instability of the carpus: Scapholunate joint. In: BergerRAWeissAP (eds) Hand Surgery, Philadelphia, PA, Lippincott Williams and Wilkins, 2004481–94.
3.
DautelGMerleM. Tests dynamiques arthroscopiques pour le diagnostic des instabilities scapholunaires. Ann Chir Main Memb Super, 1993, 12: 206–9.
4.
FilanSLHerbertTJ. Herbert screw fixation for the treatment of scapholunate ligament rupture. Hand Surg, 1998, 3: 47–55.
5.
GoldbergSHStrauchRERosenwasserMP. Scapholunate and lunotriquetral instability in the athlete: Diagnosis and management. Oper Tech Sports Med, 2006, 14: 108–21.
6.
HerbertTJ. Acute rotary dislocation of the scaphoid: a new technique of repair using Herbert screw fixation across the scapho-lunate joint. World J Surg, 1991, 15: 463–9.
7.
KuoCEWolfeSW. Scapholunate instability: Current concepts in diagnosis and management. J Hand Surg Am, 2008, 33: 998–1013.
8.
RosenwasserMPMiyasajsaKCStrauchRJ. The RASL procedure: Reduction and association of the scaphoid and lunate using the Herbert screw. Tech Hand Up Extrem Surg, 1997, 1: 263–72.
9.
WhippleTL. The role of arthroscopy in the treatment of scapholunate instability. Hand Clin, 1995, 11: 37–40.