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J Am Acad Orthop Surg, Vol 10, No 1, January/February 2002, 32-42.
© 2002 the American Academy of Orthopaedic Surgeons
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Current Status of Scapholunate Interosseous Ligament Injuries

John J. Walsh, MD, Richard A. Berger, MD, PhD and William P. Cooney, MD

Dr. Walsh is Assistant Professor, Section of Hand Surgery, Department of Orthopaedic Surgery, University of South Carolina School of Medicine, Columbia, SC. Dr. Berger is Professor of Orthopedic Surgery, Mayo Clinic, Rochester, Minn. Dr. Cooney is Professor of Orthopedic Surgery, Mayo Clinic.

Reprint requests: Dr. Cooney, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.

Injuries to the scapholunate complex present the surgeon with both diagnostic and treatment dilemmas. The anatomic features, biomechanical properties, radiographic appearance, and surgical treatment algorithms of this small but structurally and kinematically important joint continue to be refined. A thorough history and physical examination, combined with a radiographic evaluation that can include plain radiographs, tomography, motion studies, arthrography, or MRI, usually will define the nature of the ligament injury. Arthroscopy is considered the gold standard for complete evaluation of scapholunate interosseous ligament injury and often is performed as a first step before repair or reconstruction. Procedures such as carpal fusions or capsulodesis can limit excessive scaphoid motion, promote wrist stability, and potentially prevent arthritis, but advances continue to be made in direct scapholunate interosseous ligament reconstruction. Challenges for the future involve improving noninvasive evaluation, defining the degree of extrinsic ligament injury, and improving direct repair and reconstruction.




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 J Hand Surg Eur VolHome page
S. C. TALWALKAR, A. T. J. EDWARDS, M. J. HAYTON, J. H. STILWELL, I. A. TRAIL, and J. K. STANLEY
Results of Tri-Ligament Tenodesis: A Modified Brunelli Procedure in the Management of Scapholunate Instability
J Hand Surg Eur Vol., February 1, 2006; 31(1): 110 - 117.
[Abstract] [Full Text] [PDF]


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Copyright © 2002 by the American Academy of Orthopaedic Surgeons.