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Related Experiment Video

Updated: Apr 2, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
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Scapholunate Ligament Tears: Acute Reconstructive Options.

Patrick J Ward1, John R Fowler1

  • 1Department of Orthopaedic Surgery, University of Pittsburgh, Suite 1010, Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA.

The Orthopedic Clinics of North America
|September 28, 2015
PubMed
Summary

Untreated scapholunate dissociation can cause wrist arthritis. This review examines surgical options for scapholunate ligament tears, aiming to improve wrist function and alignment without arthritis.

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Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Musculoskeletal Research

Background:

  • Scapholunate dissociation, if left untreated, frequently progresses to posttraumatic wrist arthritis.
  • Current surgical techniques aim to correct the scapholunate interval and wrist biomechanics to prevent arthritis.
  • Existing procedures often fail to maintain long-term radiographic alignment and can lead to reduced wrist motion and strength.

Purpose of the Study:

  • To review current reconstructive surgical options for scapholunate ligament tears.
  • To evaluate methods for restoring scapholunate alignment and wrist function.
  • To identify strategies for preventing arthritis in the context of scapholunate dissociation.

Main Methods:

  • Literature review of surgical procedures for scapholunate ligament injuries.
Keywords:
CapsulodesisReduction and association of scaphoid and lunateScapholunate advanced collapseScapholunate axis methodScapholunate ligament

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  • Analysis of studies focusing on radiographic outcomes and functional results.
  • Synthesis of evidence regarding techniques to reduce scapholunate interval and improve kinematics.

    • Main Results:

    • Current surgical treatments have limitations in maintaining long-term radiographic alignment.
    • Postoperative outcomes often include decreased wrist range of motion and strength.
    • No single surgical approach has consistently demonstrated superior long-term efficacy.

    Conclusions:

    • Further research is needed to develop more effective surgical interventions for scapholunate dissociation.
    • Optimizing surgical techniques may improve radiographic stability and functional recovery.
    • Preventing posttraumatic arthritis remains a key challenge in managing scapholunate ligament injuries.