Scaphoid non-union? SLIL (Scapho-Lunate Interosseus Ligament) avulsion? 29 year male Wrist pain Wrist ROM = N History of out stretch hand falling 6 m. ago P/E: Tenderness distal to Lister tub. Watson test + Lateral X ray is not available at the moment What is your decision? Matti-Russ technique ORIF vascularised BG Open reduction Repair Open reduction Dorsal capsulodesis Open reduction Lig reconstruction Excision of fragment Carpal limited arthrodesis Lunate Scaphoid Avulsion Bone Reduction of the fragment Anchor suturing Lunate Scaphoid Lateral view After insertion of first anchore Befor reduction Lateral view After insertion of second anchore after reduction Post-Op Xray 4 months post operation