Raleigh Hand Surgeon

Wrist Ligament Injury

The scapholunate ligament is a strong band of tissue located in the wrist, connecting the scaphoid bone and the lunate bone. It provides stability to the wrist and helps to distribute weight evenly across the wrist. Injuries to the scapholunate ligament can result from a variety of causes, including trauma, repetitive stress, and underlying medical conditions.

Cause of Wrist Ligament Injury

Scapholunate ligament injuries can be caused by a variety of factors, including:

•   Trauma: A sudden blow to the wrist, such as a fall, can cause the ligament to stretch or tear.

•   Repetitive stress: Repetitive wrist motions, such as those involved in sports or manual labor, can cause gradual wear and tear on the ligament, leading to injury.

•   Medical conditions: Certain medical conditions, such as arthritis or other joint problems, can increase the risk of scapholunate ligament injuries.

Symptoms of Wrist Ligament Injury

The symptoms of a scapholunate ligament injury can vary depending on the severity of the injury, but may include:

•   Pain in the wrist, especially when gripping or twisting the wrist

•   Swelling in the wrist

•   Stiffness in the wrist

•   Weakness in the wrist

•   Instability in the wrist

•   A popping or snapping sensation when the wrist is moved

Diagnosis of Wrist Ligament Injury

Diagnosis of a scapholunate ligament injury typically begins with a physical examination of the wrist, including an evaluation of the wrist’s range of motion and stability. X-rays or other imaging tests may be ordered to determine the extent of the injury and to rule out any other underlying conditions. In some cases, further diagnostic tests, such as an MRI, may be needed to confirm the diagnosis.

Treatment of Wrist Ligament Injury

Treatment for a scapholunate ligament injury will depend on the severity of the injury and the underlying cause. Non-surgical treatment options include:

•   Rest and immobilization: Using a splint or brace to immobilize the wrist and reduce stress on the ligament.

•   Physical therapy: Exercises to improve the strength and flexibility of the wrist and hand.

•   Medications: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help to reduce pain and swelling.

In more severe cases, surgery may be required to repair the torn ligament. Surgery typically involves reattaching the torn ligament to the bone or reconstructing the ligament using a tendon from another part of the body.

Scapholunate ligament injuries can cause significant pain, swelling, and instability in the wrist, making it difficult to perform everyday activities. Early diagnosis and treatment are essential to ensuring a full recovery and restoring normal wrist function. If you experience symptoms of a scapholunate ligament injury, it is important to seek prompt medical attention to determine the best course of treatment