Open AccessExtensor Carpi Radialis Longus Tenodesis Using a Biotenodesis Screw for Treatment of Symptomatic Geissler 2 Scapholunate Dissociation
Author(s) -
Andrew Stone,
Zuhaib Shahid,
Sujit Agarwal,
Tanaya Sarkhel
Publication year - 2019
Publication title -
journal of hand and microsurgery
Language(s) - English
Resource type - Journals
eISSN - 0974-6897
pISSN - 0974-3227
DOI - 10.1055/s-0039-1683943
Subject(s) - medicine , scapholunate ligament , surgery , wrist
Treatment of scapholunate dissociation (SLD) depends on the degree of injury. We present our technique of extensor carpi radialis longus (ECRL) tenodesis for Geissler grade 2 SLD and our preliminary results. After arthroscopic confirmation of Geissler grade 2 SLD, we use a single incision and a polyetheretherketone (PEEK) anchor, attaching half of the ECRL tendon to the scaphoid. Preliminary results include improvements in QDASH, QDASH (work) and QDASH (sports/music), a median satisfaction level of 4/5 (satisfied), and a low complication rate. Our method is a safe, reproducible, and effective treatment of symptomatic Geissler grade 2 SLD that has failed nonoperative management, with technical advantages over alternative methods in the literature.