Are we correctly assessing scapholunate injuries under arthroscopy?

Injury to the Scapholunate Complex: Shouldn't We Look at the Problem the Other Way Round?

“…In a cohort of around 100 patients considered to be at EWAS stage 3 or 4, almost 72% of patients had radiographically visible instability. 5 These findings do not respect the linearity established by the two previous classifications. In addition, certain situations are not included in the Garcia-Elias et al algorithm, such as the management of radiologically visible deformities without osteoarthritis or pain.…”

“…Because radiological angles may be altered in so-called predynamic cases, it seems difficult to attribute a linearity of therapeutic strategy. 5 Further studies on the evolution of scapholunate instability need to be undertaken to better understand it. The wrist surgeon will have to take all these elements into account, to take his vision away from the microscope (the lesion) and look further through a telescope (the whole situation).…”