Nice Knot–Assisted Arthroscopic Volar Scapholunate Plicature

Abstract Volar components of the scapholunate interosseous ligament play an important role in carpal stability but remain underrecognized in reconstructive strategies. Arthroscopic techniques addressing volar capsuloligamentous insufficiency may restore stability while minimizing surgical morbidity. We describe an arthroscopic volar scapholunate capsuloligamentous plicature performed through a mini-open volar approach using a doubled-suture Nice knot configuration. The technique incorporates the volar capsule, short radiolunate ligament, and radioscaphocapitate ligament to restore volar restraint. A 38-year-old man presented with wrist pain following axial trauma. At 6-month follow-up, the patient demonstrated complete pain resolution and return to activities without limitation. Arthroscopic volar capsuloligamentous plicature represents a minimally invasive option for selected cases of dynamic volar scapholunate instability. V (Technical Note).