Surgical Treatment of Scapholunate Instability

Lee,  Young Keun; Kang,  Han Vit; Jung,  Young Ran; Lee,  Joo Yup

doi:2018.23.3.139

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Archives of Hand and Microsurgery 2018;23(3):139-149.
Published online September 1, 2018.
DOI: https://doi.org/10.12790/ahm.2018.23.3.139

Surgical Treatment of Scapholunate Instability

Young-Keun Lee¹, Han-Vit Kang², Young-Ran Jung¹, Joo-Yup Lee²

¹Department of Orthopedic Surgery, Chonbuk National University Medical School, Jeonju, Korea.
²Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. jylos1@gmail.com

Received: 10 August 2018 • Revised: 22 August 2018 • Accepted: 22 August 2018

Abstract

The incidence of ligament injuries of the wrist has increased due to sports activities. However, diagnosis and management of these injuries are sometimes difficult because of the anatomic complexity and variable injury patterns. The scapholunate ligament is both a key ligament in the stability of the carpus and one of the most frequently injured. The presentation of scapholunate instability often includes a vague injury history and pain with grip, wrist extension, and sport or labor. To properly diagnose and manage these conditions, thorough understanding of the wrist anatomy and physical and radiologic examination is mandatory. This article will briefly discuss the wrist joint anatomy and biomechanics, and review the diagnosis and surgical management of the scapholunate ligament injury.

Key Words: Wrist injuries, Ligaments, Carpal instability, Scapholunate

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