Doctor insights on:
Scapholunate Ligament Disruption
How can you treat a tear of the scapholunate ligament and central tear of the triangular fibrocartliage?
Two different cures: Central tears of the TFCC are treated with arthroscopic debridement as the central portion does not have adequate blood flow to heal. The S-L ligament sometimes responds to arthroscopically guided percutaneous pinning, often requires repairer reconstruction to include dorsal capsulodesis. Seek care with board certified hand surgeon ...Read more
Not recommended: This puts axial load on the wrist which drives the capitate proximally putting force and stress on the scaphoid-lunate interval causing potential for new or extended tear as well as mid carpal arthritis. If you did not have reconstructive or reparative surgery then at higher risk for worsening injury. ...Read more
I am a 66 year old woman in good health. I have a torn scapholunate ligament in my dominant hand. What should I do. I am active.
Fell in 2007 and tore the scapholunate ligament in my left wrist.Recomendation is partial or total arthrodesis. Other alternatives?
A proximal row: Carpectomy is sometimes suggested depending upon the pattern and degree of arthritic changes in the wrist. Speak to your doctor regarding the risks, benefits and indications for this and the other plans you have described. The issue with a sl ligament injury is that the scaphoid abnormally wears at the radius and the capitate may become affected as the wrist "collapses" with variation existing. ...Read moreSee 2 more doctor answers
I have a scapholunate ligament tear distance of 5mm according to an MRI. This injury is chronic, is there any other options other than surgery. ?
Yes, but 5 mm is big: Splinting the wrist, & anti-inflammatory drugs (like naproxen or ibuprofen) can be tried for nonsurgical care of scapholunate dislocation. But you may still have pain when gripping objects. Also, 5 mm is a rather large gap, & so may not heal. For *very* large gaps, there's no option other than suturing (surgery) the bones together. For smaller gaps, an arthroscopic pin or other implant can be used ...Read more
If I have a scaphoid fracture that has gone untreated for more than 6 months, will that show up on an x-ray? I had an injury on my hand last summer, initial X-ray and MRI showed nothing other than sprained scapholunate ligament with post-traumatic synovit
Scaphoid fracture: If you had a scaphoid fracture which was initially not diagnosed and it has not healed ( a scaphoid nonunion ), this will show up on regular x-rays 6 months after the injury. Possible causes of continued pain after a wrist injury without a fracture can be an unhealed ligament sprain or tear, a joint capsule sprain or cartilage injury. A clinical examination and perhaps an MRI can help diagnose. ...Read moreSee 1 more doctor answer
What is the typical time for recovery of a complete scapholunate (scaphoid) ligament tear in my wrist?
Recovery rare: Complete disruption of the scapholunate interval leads to instability and disassociation. This very rarely heals on its own usually requiring surgical reconstruction. This will improve your function but rarely leads to complete recovery back to pre injury functional status. If not appropriately addressed will continue to progressively degenerate toward a SLAC wrist deformity. ...Read more
Please help! what is the average time for recovery of a complete scapholunate (scaphoid) ligament tear in my wrist?
Depends: Typically this is a surgical problem requiring repair or reconstruction of the ligament. It rarely responds to rest or immobilization but requires arthroscopic or open surgical repair. The ligament repair requires 8 to 10 weeks for initial healing and then post operative therapy. Seek care with a qualified hand surgeon. ...Read more
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