Arthroscopic treatment of stage 3 scapholunate advanced collapse (SLAC)

Instability of the distal radioulnar joint (DRUJ) results from injury or laxity of the ligaments responsible for stabilizing the joint. Of note, the triangular fibrocartilage complex (TFCC) plays a crucial role in maintaining DRUJ stability. Sometimes, it may be impossible to repair the TFCC due to degenerative changes in the TFCC. In such cases, DRUJ reconstruction is possible provided that there are no arthritic changes in the DRUJ with the use of tendon graft. The aim of this procedure is to reconstruct the ligament and restore function, thus providing multidirectional stability. This procedure uses a tendon graft, preferably the Palmaris Longus (PL), which is woven through trans-osseous tunnels in the distal radius, converging at the fovea through a distal ulnar trans-osseous tunnel.

Bone ganglia of the lunatum are benign tumors which become painful when the ganglion wall collapses in the scapholunate joint. The usual localization of these ganglia is antero-lateral and their surgical treatment via an open technique is difficult. Arthroscopic bone grafting of lunate bone ganglion is a precise, effective, and very convenient technique for patients.

Some wrist traumas lead to a rare lesion, namely the radial disinsertion of the dorsal intercarpal ligament, from its dorsal insertion to the scaphoid. This causes the scaphoid to slide towards the anterior margin of the radius. Arthroscopic repair is accurate and safe.

Watch the replay of the last e-congress which took place at IRCAD Strasbourg in November, 2019. The opportunity for all arthroscopy specialists to learn more about various topics and hear the opinion of renowned international experts.

Watch the replay of the last IWAS - IWC Seasonal Wrist Forum which took place at IRCAD Strasbourg on February 29, 2020. The opportunity for all arthroscopy specialists to learn more about various topics and hear the opinion of renowned international experts.