The scapholunate complex: a new concept

There is still controversy regarding the value of arthroscopic suture of triangular fibrocartilage complex (TFCC) peripheral tears compared with open transosseous repair because only the latter method restores foveal insertions of TFCC in case of distal radioulnar joint (DRUJ) instability. Five classes of TFCC peripheral tears are recognized in a treatment-oriented algorithm based on arthroscopic findings, and indications to proper treatment are set accordingly.

Intrinsic (and extrinsic) lesions of the wrist ligaments are common, and their treatment is still controversial. Indeed, conventional open surgery sutures often allow the lesions to stabilize, but may cause stiffness, most often preventing a return to previous physical activities, particularly in athletic patients. The advent of arthroscopy has deeply changed the understanding and the treatment of such lesions. This video presents a severe chronic double lesion of the triangular and scapholunate ligaments, as well as a demonstration of how to suture them using arthroscopic techniques.

In this lecture, Dr. Tse discusses the techniques used to remove a volar synovial cyst.

In this key lecture, Dr. Herzberg goes over the arthroscopic-assisted treatment of perilunate dislocations.

In this key lecture, Dr. Tse outlines the arthroscopic treatment for scaphoid nonunion.

In this key lecture, Dr. Gay focuses on arthroscopic resection of the ulno-carpal part of the ulnar head.

In this key lecture, Dr. Nienstedt presents SL injuries classification, treatment, and problems.

In this key lecture, Dr. Samson focuses on equipment and portals.

In this key lecture, Dr. Luchetti outlines the arthroscopic Sauve Kapandji (SV) technique.

In this key lecture, Dr. Camus outlines intrinsic and extrinsic ligaments exploration and testing.