Table 1.

Advantages and Limitations of Arthroscopic Treatment

Advantages

The technique avoids the dorsal approach and damage to the soft tissue, allowing a higher range of joint mobility.

It avoids injury to the posterior interosseous nerve, which plays an important role in the proprioception of the wrist.

It protects against injury to the SLL vascular dorsal supply, increasing its healing potential.

It prevents damage to the secondary dynamic stabilizers, such as the intercarpal dorsal ligament and dorsal radiocarpal ligament.

It allows verification of the correct placement and introduction of the implants, as well as the correct reduction of the scapholunate interval.

It reconstructs the important dorsal portion of the SLL with a direct anatomic biological repair.

Limitations

This is a complex technique with a large learning curve.

It requires previous wrist arthroscopic skills.

It requires specific materials for arthroscopy.

SLL, scapholunate ligament.