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Scaphoid non-union? SLIL ( Scapho -Lunate Interosseus Ligament) avulsion?. 29 year male Wrist pain Wrist ROM = N History of out stretch hand falling 6 m. ago. P/E: Tenderness distal to Lister tub. Watson test + Lateral X ray is not availa ble at the moment. What is your decision?
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Scaphoid non-union?SLIL (Scapho-Lunate Interosseus Ligament) avulsion?
29 year male • Wrist pain • Wrist ROM = N • History of out stretch hand falling 6 m. ago
P/E: • Tenderness distal to Lister tub. • Watson test + Lateral X ray is not available at the moment
What is your decision? • Matti-Russ technique • ORIF vascularised BG • Open reduction – Repair • Open reduction – Dorsal capsulodesis • Open reduction – Lig reconstruction • Excision of fragment • Carpal limited arthrodesis
Lunate Scaphoid
Lunate Scaphoid
Lateral view After insertion of first anchore Befor reduction
Lateral view After insertion of second anchore after reduction