Minimally Invasive Radiolunate Imbrication Neutralization (MIRLIN) Procedure.

Kakar, Sanjeev; Cantwell, Sean; Couzens, Greg; Smith, Nick; Ross, Mark · J Hand Surg Am · 2025

review · Level V

Where this comes from

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.

Medical subject headings

Anatomy