Arch Hand Microsurg 2018; 23(3): 139-149  
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
Correspondence to: Joo-Yup Lee
Department of Orthopedic Surgery, The Catholic University of Korea, St. Paul's Hospital, 180 Wangsan-ro, Dongdaemun-gu, Seoul 02559, Korea
TEL: +82-2-960-4532, FAX: +82-2-965-1456, E-mail: jylos1@gmail.com
Received: August 10, 2018; Revised: August 22, 2018; Accepted: August 22, 2018; Published online: September 1, 2018.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords: Wrist injuries, Ligaments, Carpal instability, Scapholunate


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