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J Wrist Surg 2022; 11(05): 470
DOI: 10.1055/s-0042-1749145
Letter to the Editor

Reply to “Arthroscopic Treatment of Capitate Nonunion: A New Technique”

Jean-Baptiste de Villeneuve Bargemon 
1   Department of Hand, Wrist and Elbow Surgery, Saint Roch Private Hospital, Toulon, France
,
Mathias Rouveyrol
2   Department of Hand Surgery and Limb Reconstructive Surgery, La Timone Adultes Hospital, Aix Marseille University, Marseille, France
,
Charlotte Jaloux
2   Department of Hand Surgery and Limb Reconstructive Surgery, La Timone Adultes Hospital, Aix Marseille University, Marseille, France
,
Michel Levadoux
1   Department of Hand, Wrist and Elbow Surgery, Saint Roch Private Hospital, Toulon, France
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Isolated nonunion of the capitate is rare.[1] The treatment published was an open approach with capsulotomy. We published the case report using wrist arthroscopic management.[2] It is quite difficult to represent this technique in figures, so we offer here a detailed video to show how to facilitate access to the body of the capitate where the nonunion is located along with the intraoperative tricks ([Video 1]). An arthroscopic synovectomy was necessary in the distal midcarpal areas to allow the access of instruments into the nonunion. With this video, we hope to provide a better visualization of the surgical technique.

Arthroscopic exploration and management of capitate nonunion.


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Publication History

Received: 03 February 2022

Accepted: 03 March 2022

Article published online:
10 June 2022

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  • References

  • 1 Chahidi N, Rousié M. Spontaneous flexor tendon rupture secondary to capitate non-union. A case report and review of literature. Hand Surg Rehabil 2016; 35 (04) 292-295
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  • 2 de Villeneuve Bargemon JB, Jaloux C, Levet P, Levadoux M. Arthroscopic treatment of capitate nonunion: A new technique. J Wrist Surg 2022; 11 (04) 353-357
    Article in Thieme ConnectPubMedGoogle Scholar