- Discussion: (see ligaments of the wrist and SLD)
- three main ligamentous structures which bind the scaphoid to lunate;
- volar radioscapholunate ligament (largest);
- radiocapitolunate ligament;
- scapholunate interosseous ligament (consists of dorsal, proximal, and palmar segments bridging the scaphoid and lunate);
- dorsal portion:
- 2-3 mm thick with transversely oriented bundles of collagen;
- most important: provides majority of the ligament’s resistance to diastasis between the proximal pole of the
scaphoid and lunate;
- ref: Evaluation of Scaphoid and Lunate Kinematics Following Sectioning of Portions of SL Interosseous Ligament
- proximal portion:
- SLIL is thin and fibrocartilaginous
- blends into the palmar radioscapholunate ligament (Testut)
- palmar ligament:
- volar to radioscapholunate ligament attachment
- ligament is1 mm thick and obliquely oriented
- references:
- Radioscapholunate ligament: a gross anatomic and histologic study of fetal and adult wrists.
- The gross and histologic anatomy of the scapholunate interosseous ligament.
- The Dorsal Ligaments of the Wrist: Anatomy, Mechanical Properties, and Function
- The radioscapholunate ligament: a gross and histologic description.
- anatomy of dissociation:
- division of the interosseous scapholunate ligament + sectioning of the radioscaphocapitate ligament + clenched fist
positioning will cause an 8 mm gap vs avg of 2 mm gap (w/ ligament intact);
- to have true scapholunate dissociation, 2 out of 3 ligaments must be significantly injured (secondary constraints being
palmar radiocapitate and distal STT);
- reference:
- The effect of scapholunate ligament section on scapholunate motion.
- The role of the dorsal intercarpal ligament in dynamic and static scapholunate instability.
- Dorsal Wrist Ligament Insertions Stabilize the Scapholunate Interval: Cadaver Study.
- Biomechanical evaluation of ligamentous stabilizers of the scaphoid and lunate
- Biomechanical evaluation of the ligamentous stabilizers of the scaphoid and lunate: Part II.
- Biomechanical Evaluation of the Ligamentous Stabilizers of the Scaphoid and Lunate: Part III.
- The effect of scapholunate ligament section on scapholunate motion.
- Force in the Scapholunate Interosseous Ligament During Active Wrist Motion
- three main ligamentous structures which bind the scaphoid to lunate;
- volar radioscapholunate ligament (largest);
- radiocapitolunate ligament;
- scapholunate interosseous ligament (consists of dorsal, proximal, and palmar segments bridging the scaphoid and lunate);
- dorsal portion:
- 2-3 mm thick with transversely oriented bundles of collagen;
- most important: provides majority of the ligament’s resistance to diastasis between the proximal pole of the
scaphoid and lunate;
- ref: Evaluation of Scaphoid and Lunate Kinematics Following Sectioning of Portions of SL Interosseous Ligament
- proximal portion:
- SLIL is thin and fibrocartilaginous
- blends into the palmar radioscapholunate ligament (Testut)
- palmar ligament:
- volar to radioscapholunate ligament attachment
- ligament is1 mm thick and obliquely oriented
- references:
- Radioscapholunate ligament: a gross anatomic and histologic study of fetal and adult wrists.
- The gross and histologic anatomy of the scapholunate interosseous ligament.
- The Dorsal Ligaments of the Wrist: Anatomy, Mechanical Properties, and Function
- The radioscapholunate ligament: a gross and histologic description.
- anatomy of dissociation:
- division of the interosseous scapholunate ligament + sectioning of the radioscaphocapitate ligament + clenched fist
positioning will cause an 8 mm gap vs avg of 2 mm gap (w/ ligament intact);
- to have true scapholunate dissociation, 2 out of 3 ligaments must be significantly injured (secondary constraints being
palmar radiocapitate and distal STT);
- reference:
- The effect of scapholunate ligament section on scapholunate motion.
- The role of the dorsal intercarpal ligament in dynamic and static scapholunate instability.
- Dorsal Wrist Ligament Insertions Stabilize the Scapholunate Interval: Cadaver Study.
- Biomechanical evaluation of ligamentous stabilizers of the scaphoid and lunate
- Biomechanical evaluation of the ligamentous stabilizers of the scaphoid and lunate: Part II.
- Biomechanical Evaluation of the Ligamentous Stabilizers of the Scaphoid and Lunate: Part III.
- The effect of scapholunate ligament section on scapholunate motion.
- Force in the Scapholunate Interosseous Ligament During Active Wrist Motion