Abstract：
METHODS: A 29-year-old young active man with ununited necrosed proximal fifth of scaphoid with chronic scapholunate ligament disruption was managed by excision of proximal pole fragment and interosseous scapholunate reconstruction using modified Brunelli triple ligament tenodesis technique with satisfying outcome at 6 months and return to sports instructor job by the end of 1 year.
CONCLUSIONS: Meticulous understanding and algorithmic itemwise approach of injury components can lead to optimal management of complex unstable wrist injuries such as scapholunate dissociation. To the best of our knowledge, this is the first report on excision of proximal pole of scaphoid coupled with scapholunate ligament reconstruction.
CONCLUSIONS: Meticulous understanding and algorithmic itemwise approach of injury components can lead to optimal management of complex unstable wrist injuries such as scapholunate dissociation. To the best of our knowledge, this is the first report on excision of proximal pole of scaphoid coupled with scapholunate ligament reconstruction.
摘要：
方法：一名29岁的年轻活跃男子，其舟骨近端五分之一未联合坏死并伴有慢性肩胛骨韧带破坏，通过使用改良的Brunelli三韧带肌腱固定术切除近端极碎片和骨间肩胛骨重建来进行治疗。在6个月时效果令人满意，并在1年底前返回体育教练工作。
结论：对损伤成分的细致理解和算法逐项方法可以优化处理复杂的不稳定腕关节损伤，如肩胛骨分离。据我们所知,这是关于舟骨近端极切除并肩胛骨韧带重建的首次报道。
结论：对损伤成分的细致理解和算法逐项方法可以优化处理复杂的不稳定腕关节损伤，如肩胛骨分离。据我们所知,这是关于舟骨近端极切除并肩胛骨韧带重建的首次报道。
