Abstract
Background The palmar aspect of the capsuloligamentous complex of the wrist is relatively inaccessible
to surgery through an open approach. An all-inside arthroscopic suturing technique
is presented that allows suturing of the palmar scapholunate or lunotriquetral ligaments
or plication of the space of Poirier.
Methods Eight palmar scapholunate ligaments and four major tears of the volar capsuloligamentous
complex of the wrist due to a perilunate dislocation have been repaired.
Results No complications occurred during or after the procedure. It was not possible to separate
the effects of the palmar repair from the disparate treatment of the associated pathology.
Conclusions The technique described allows one to suture the palmar aspects of the SL and LT
ligaments safely and to repair the space of Poirier structures without need for any
special equipment.
Keywords
wrist arthroscopy - scapholunate ligament repair - space of Poirier - all-inside technique
