34 Open Scapholunate Ligament Repair

• Dorsal longitudinal incision
  
• Incise the third dorsal compartment and retract the extensor pollicis longus radially (Fig. 34-1).
  
• Incise the radial wall of the fourth compartment and retract the extensor digitorum communis tendons ulnarly.
  
• The dorsal capsule is incised with a radial-based triangular flap to preserve the dorsal intercarpal ligament and dorsal radiocarpal ligaments (Fig. 34-2A,B).
  
• The SL ligament is inspected; typically it has avulsed from the lunate.

Figure 34-1

Figure 34-2

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