{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:29:52Z","timestamp":1788960592772,"version":"build-2803163510"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The results of Mathoulin's arthroscopic dorsal capsuloligamentous reconstruction (ADCLR) are excellent in many patients with scapholunate instability, though less consistently good in higher grade instabilities. The purpose of this article is to describe a novel technique of volar scaphotrapeziotrapezoid (STT) reconstruction which may be used to augment rotational control of the scaphoid, in conjunction with the ADCLR, for use in European Wrist Arthroscopy Society (EWAS) grade IV\/V instabilities.<\/jats:p><jats:p>\n          Description of Technique\u2003Following completion of ADCLR, the STT joint is approached through the flexor carpi radialis sheath. The palmaris longus tendon is harvested. Fluoroscopy is used to site guide wires for tunnel placement in the distal scaphoid and the proximal trapezium; 3.5-mm tunnels are overdrilled in both bones, to a depth of 8\u2009mm. The palmaris graft is then anchored in the scaphoid tunnel with a mini-DX SwiveLock anchor. The graft is tensioned, then anchored in the trapezium tunnel with another anchor.<\/jats:p><jats:p>\n          Patients and Methods\u2003We retrospectively selected two young men heavy manual workers who had this procedure more than 12 months previously for scapholunate instability, with static radiographic abnormalities and a drive through sign (EWAS grade V). The patients were reviewed after 12 months, for assessment of visual analog scale, quick disabilities of the arm, shoulder, and hand, and patient-rated wrist\/hand evaluation scores, range of motion, and grip strength.<\/jats:p><jats:p>\n          Results\u2003Both patients had marked improvements of wrist comfort and function at 1 year, and were able to return to their normal duties at work and complete all activities of daily living with minimal symptoms.<\/jats:p><jats:p>\n          Conclusion\u2003This volar STT reconstruction may expand the success of the Mathoulin's ADCLR into higher grade instabilities.<\/jats:p>","DOI":"10.1055\/s-0043-1768931","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T22:51:01Z","timestamp":1684277461000},"page":"066-074","source":"Crossref","is-referenced-by-count":5,"title":["Open Volar STT Ligament Reconstruction to Augment the Mathoulin's Arthroscopic Dorsal Capsuloligamentous Reconstruction: Technique Description and Case Reports"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8656-9577","authenticated-orcid":false,"given":"Nicholas Charles","family":"Smith","sequence":"additional","affiliation":[{"name":"Macquarie Hand Unit, Macquarie University Hospital, Macquarie Park, New South Wales, Australia"},{"name":"Department of hand surgery, Macquarie University Hospital, Macquarie Park, New South Wales, Australia"},{"name":"Department of upper limb surgery and therapy, Faculty of Medicine and Health Sciences, Macquarie University, Macquarie Park, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally E.","family":"Yates","sequence":"additional","affiliation":[{"name":"Macquarie Hand Unit, Macquarie University Hospital, Macquarie Park, New South Wales, Australia"},{"name":"Department of upper limb surgery and therapy, Faculty of Medicine and Health Sciences, Macquarie University, Macquarie Park, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamer","family":"Mettyas","sequence":"additional","affiliation":[{"name":"Macquarie Hand Unit, Macquarie University Hospital, Macquarie Park, New South Wales, Australia"},{"name":"Department of hand surgery, Macquarie University Hospital, Macquarie Park, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.main.2011.04.007","article-title":"Arthroscopic dorsal capsuloplasty in chronic scapholunate ligament tears: a new procedure; preliminary report","volume":"30","author":"C Mathoulin","year":"2011","journal-title":"Chir Main"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.hansur.2016.09.002","article-title":"Treatment of dynamic scapholunate instability dissociation: contribution of arthroscopy","volume":"35","author":"C Mathoulin","year":"2016","journal-title":"Hand Surg Rehabil"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1055\/s-0033-1341582","article-title":"Arthroscopic dorsal capsulo-ligamentous repair in the treatment of chronic scapho-lunate ligament tears","volume":"2","author":"A L Wahegaonkar","year":"2013","journal-title":"J Wrist Surg"},{"issue":"15","key":"ref4","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.2106\/JBJS.18.01419","article-title":"Role of ligament stabilizers of the proximal carpal row in preventing dorsal intercalated segment instability: a cadaveric study","volume":"101","author":"A J P\u00e9rez","year":"2019","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1055\/s-0033-1338256","article-title":"Anatomical description of the dorsal capsulo-scapholunate septum (DCSS)-arthroscopic staging of scapholunate instability after DCSS sectioning","volume":"2","author":"L V Overstraeten","year":"2013","journal-title":"J Wrist Surg"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1055\/s-0036-1597922","article-title":"The anatomy of the dorsal capsulo-scapholunate septum: a cadaveric study","volume":"6","author":"M Tommasini Carrara de Sambuy","year":"2017","journal-title":"J Wrist Surg"},{"issue":"12","key":"ref7","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1016\/j.jhsa.2021.05.029","article-title":"Is the dorsal fiber-splitting approach to the wrist safe? 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