Team Approach: Management of Scapholunate Instability

The wrist maintains stability through complex articulations of the carpal bones, dependent upon intrinsic and extrinsic ligaments.Injury to the scapholunate interosseous ligament may lead to dissociative carpal instability, abnormal carpal kinetics, and sometimes arthritis.The kinematics, kinetics, and self-stabilizing role of the tendons and their influence on the scapholunate interosseous ligament continue to be studied.Critical to successful treatment of scapholunate interosseous ligament injuries is timely and complementary therapy.There is currently no gold standard for a treatment algorithm for this condition.