Treatment of Chronic Scapholunate Ligament Injury.

Abstract

Chronic scapholunate (SL) ligament injury has been recognized as one of the most common disorders of the wrist, but also one of the most difficult injury to treat. Strategies for treatment of a chronic SL ligament injury can be grouped into those that involve: (1) correction of the flexed scaphoid; (2) reconstruction of the dorsal SL ligament (bone-ligament [retinaculum]-bone reconstruction); (3) reconstruction of the volar SL ligament; (4) reconstruction of both the dorsal and volar SL ligaments; and (5) interosseous ligament reconstruction. There is no gold standard of treatment, however, for all chronic SL ligament injury patterns.