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Official Journal of the Italian Society of Orthopaedics and Traumatology

Fig. 1 | Journal of Orthopaedics and Traumatology

Fig. 1

From: Scapho-luno-capitate fusion with proximal lunate articular surface preservation for management of grade IIIA Kienböck’s disease: a prospective case series

Fig. 1

A Skin incision. B Identification of extensor pollicis longus for incision of the extensor retinaculum of the third extensor compartment. C The contents of the fourth compartment were subperiosteally elevated and retracted ulnarly (green arrow), while the extensor pollicis longus was retracted radially (red arrow). The posterior interosseous nerve (blue arrow) was dissected, 1.5 cm of its length was excised and cauterized, and its proximal end was crushed for posterior wrist denervation. D The wrist capsule was opened in a ligament-splitting fashion with a radially based flap through bisection of the dorsal intercarpal (green arrow) and dorsal radiocarpal ligaments (red arrow). E Bone grafting of the decorticated articular surface of the scaphoid (green arrow), capitate (yellow arrow) and the remaining portion of the proximal lunate (blue arrow)

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