ArticleJournal of wrist surgery2026
Midcarpal Ultra-wide Scapholunotriquetral Capsulo-ligamentoplasty (MUSCL) Procedure.
Article in Journal of wrist surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
Background: Arthroscopic dorsal capsuloligamentous reconstruction (ADCLR) has gained popularity in addressing symptomatic scapholunate instability without radiographic malalignment (European Wrist Arthroscopy Society [EWAS] grade IIIB/IIIC/IV). Case Description: A midcarpal ultra-wide version of the ADCLR is described, wherein suture needles are directly inserted into the midcarpal joint without prior entry into the radiocarpal joint. A wide "bite" is taken to plicate the dorsal radiocarpal (DRC), dorsal intercarpal (DIC), and dorsal scapholunotriquetral (DSLT) ligaments. An incision is then performed to allow direct visualization suture passage beneath the extensor tendons. A total of 68 consecutive patients received a midcarpal ultra-wide scapholunotriquetral capsulo-ligamentoplasty (MUSCL) between July 2020 and November 2023. Mean follow-up was 8 months (range 2-24 months). The mean pre- and postoperative range of dorsiflexion was 64.54 and 68.32 degrees, respectively ( Literature Review: Several modifications of the ADCLR exist, including those that take a wider bite incorporating capsule from the mid-carpal joint as well as augmentations with capsuloligamentous imbrications and suture anchor repairs. These approaches yield good pain relief, improved range of motion, and enhanced grip strength when compared with open techniques. Clinical Relevance: This technique eliminates the challenging maneuver of passing needles from the radiocarpal joint into the midcarpal joint, offering both procedural simplicity and efficacy, with promising short-term outcomes. Long-term follow-up is necessary.
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