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Figure 3 | BMC Musculoskeletal Disorders

Figure 3

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

Figure 3

Demonstration of the new technique. A - scapholunate dissociation with rotatory subluxation of the scaphoid (white arrow). S – scaphoid, L – lunate. B - free tendon graft is introduced through tunnels created in the scaphoid and the lunate (white arrow). C - when carpal bones were correctly aligned, the tendon graft was interlaced (white arrow). D - tendon graft was sutured at the intersection point and it’s both sides. Lunate part of the tendon was then distally anchored to the dorsal distal surface of the scaphoid in order to prevent its rotatory subluxation.

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