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Figure 1 | BMC Musculoskeletal Disorders

Figure 1

From: New concept of scapholunate dissociation treatment and novel modification of Brunelli procedure - anatomical study

Figure 1

The described three techniques of SLD treatment. A - a diagram showing the idea of modified Brunelli technique using FCR tendon graft through a hole created in distal part of scaphoid (S), then FCR tendon is anchored to the lunate (blue triangle). B - new method of scapholunate tendon reconstruction – created perpendicular tunnels in the scaphoid and lunate through which a free tendon graft was introduced (the dotted line) and distally anchored to dorsal distal surface of the scaphoid in order to prevent its rotatory subluxation. C - new modification of Brunelli technique – after that FCR was introduced through the scaphoid, its introducing through the lunate hole from the side of midcarpal joint, and then tensioned and sutured to itself at scaphoid surface.

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