Brunelli procedure is a surgical procedure aiming to reconstruct a torn scapholunate ligament by reconnecting the scaphoid and lunate using the flexor carpi radialis tendon 1. In the modified Brunelli technique the tendon is sutured upon itself, thereby preventing the crossing of the distal radiocarpal joint which can impede wrist mobility 2.
History and etymology
The procedure was described by Dr GA Brunelli and Dr GR Brunelli in 1995 1.
- 1. Brunelli GA, Brunelli GR. A new surgical technique for carpal instability with scapho-lunar dislocation. (Eleven cases). Ann Chir Main Memb Super. 1996;14 (4-5): 207-13. Pubmed citation
- 2. Van Den Abbeele KL, Loh YC, Stanley JK et-al. Early results of a modified Brunelli procedure for scapholunate instability. J Hand Surg Br. 1998;23 (2): 258-61. Pubmed citation 3. Sousa M, Aido R, Freitas D et-al. Scapholunate ligament reconstruction using a flexor carpi radialis tendon graft. J Hand Surg Am. 2014;39 (8): 1512-6. doi:10.1016/j.jhsa.2014.04.031 - Pubmed citation