1. Scaphoid non-union? SLIL (Scapho-Lunate Interosseus Ligament) avulsion?

2. 29 year male Wrist pain Wrist ROM = N History of out stretch hand falling 6 m. ago

3. P/E: – Tenderness distal to Lister tub. – Watson test + Lateral X ray is not available at the moment

4. What is your decision? – Matti-Russ technique – ORIF vascularised BG – Open reduction – Repair – Open reduction – Dorsal capsulodesis – Open reduction – Lig reconstruction – Excision of fragment – Carpal limited arthrodesis

8. Lunate Scaphoid

9. Avulsion Bone

10. Reduction of the fragment

12. Anchor suturing

14. Lunate Scaphoid

15. Lateral view After insertion of first anchore Befor reduction

16. Lateral view After insertion of second anchore after reduction

18. Post-Op Xray

19. 4 months post operation