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Updated: Jan 3, 2026

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Current Techniques in Scapholunate Ligament Reconstruction.

Ian Mullikin1, Ramesh C Srinivasan2, Mark Bagg3

  • 1Department of Orthopedics, 1 Jarrett White Road, Tripler Army Medical Center, HI 96859, USA.

The Orthopedic Clinics of North America
|November 20, 2019
PubMed
Summary

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Scapholunate ligament injuries can cause wrist arthritis if not treated. This review covers anatomy, biomechanics, and surgical options for scapholunate ligament injuries, offering a treatment algorithm for surgeons.

Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Anatomy
  • Ligamentous Injury Biomechanics

Background:

  • Scapholunate ligament injuries are a frequent cause of wrist dysfunction.
  • Untreated injuries can progress to scaphoid lunate advanced collapse (SLAC) wrist arthritis.

Purpose of the Study:

  • To provide a comprehensive review of scapholunate ligament injuries.
  • To outline current treatment strategies, including acute repair and reconstruction.
  • To develop a systematic treatment algorithm for managing these injuries.

Main Methods:

  • Literature review of relevant anatomy, biomechanics, and classification systems.
  • Analysis of current treatment options for acute and chronic scapholunate ligament injuries.
  • Development of a decision-making algorithm for surgical management.
Keywords:
ReconstructionRepairSalvageScapholunate ligamentTreatment

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Main Results:

  • Detailed description of scapholunate ligament anatomy and injury biomechanics.
  • Review of various surgical techniques for scapholunate ligament repair and reconstruction.
  • Presentation of a structured algorithm to guide surgical decision-making.

Conclusions:

  • Accurate diagnosis and timely treatment of scapholunate ligament injuries are crucial.
  • A range of surgical options exist, tailored to injury severity and chronicity.
  • The proposed algorithm aids surgeons in selecting appropriate management strategies for improved patient outcomes.