Scapholunate and perilunate injuries in the athlete

  • Nathan T. Morrell
  • Amanda Moyer
  • Noah Quinlan
  • Adam B. Shafritz
Hand and Wrist Sports Medicine (E Tolo and L Dwyer, section editors)
  • 210 Downloads
Part of the following topical collections:
  1. Topical Collection on Hand and Wrist Sports Medicine

Abstract

Purpose of the review

Scapholunate and perilunate injuries can be difficult to diagnose and treat in the athlete. In this review article, we present the mechanism of injury, evaluation, management, and outcomes of treatment for these injuries.

Recent findings

Acute repair of dynamic scapholunate ligament injuries remains the gold standard, but judicious use of a wrist splint can be considered for the elite athlete who is in season. The treatment of static scapholunate ligament injury remains controversial. Newer SL reconstructive techniques that aim to restore scapholunate function without compromising wrist mobility as much as tenodesis procedures show promise in athlete patients.

Summary

Acute injuries to the scapholunate ligament are best treated aggressively in order to prevent the sequelae of wrist arthritis associated with long-standing ligamentous injury. Acute repair is favored. Reconstructive surgical procedures to manage chronic scapholunate injury remain inferior to acute repair. The treatment of lunotriquetral ligament injuries is not well defined.

Keywords

Scapholunate ligament Lunotriquetral ligament Wrist instability Wrist sprain Athletic injury DISI 

Notes

Compliance with ethical standards

Conflict of interest

All of the authors declare that they have no conflict of interest.

Human and animal rights and informed consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Nathan T. Morrell
    • 1
  • Amanda Moyer
    • 1
  • Noah Quinlan
    • 2
  • Adam B. Shafritz
    • 1
  1. 1.Department of Orthopaedics & RehabilitationUniversity of Vermont College of MedicineBurlingtonUSA
  2. 2.University of Vermont College of MedicineThe University of Vermont Medical CenterBurlingtonUSA

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