Minimally Invasive Radiolunate Imbrication Neutralization (MIRLIN) Procedure

Sanjeev Kakar; Sean Cantwell; Greg Couzens; Nick Smith; Mark Ross

doi:10.1016/j.jhsa.2024.10.019

Minimally Invasive Radiolunate Imbrication Neutralization (MIRLIN) Procedure

J Hand Surg Am. 2024 Dec 12:S0363-5023(24)00550-1. doi: 10.1016/j.jhsa.2024.10.019. Online ahead of print.

Authors

Sanjeev Kakar¹, Sean Cantwell², Greg Couzens³, Nick Smith⁴, Mark Ross⁵

Affiliations

¹ Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address: [email protected].
² Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
³ Brisbane Hand and Upper Limb Research Institute, Brisbane, Queensland, Australia.
⁴ Macquarie University Hand Clinic, Macquarie University, Sydney, New South Wales, Australia.
⁵ Brisbane Hand and Upper Limb Research Institute, Brisbane, Queensland, Australia; School of Medicine, University of Queensland, Brisbane, Queensland, Australia.

PMID: 39674944
DOI: 10.1016/j.jhsa.2024.10.019

Abstract

Debate persists about the optimal surgical management of scapholunate dissociation. Many contemporary techniques address both the injured scapholunate ligament as well as the capsuloligamentous stabilizers necessary to prevent carpal instability and collapse. Here, we present a technique to reinforce or plicate the long radiolunate ligament, a critical stabilizer to the carpus. Arthroscopic-assisted long radiolunate ligament capsulodesis may be considered in the treatment algorithm for scapholunate dissociation.

Keywords: Long radiolunate ligament; scapholunate instability; scapholunate ligament.

Publication types

Review