Open Access
CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2025; 53(01): e13-e24
DOI: 10.1055/s-0045-1809557
Artículo Original | Original Article

A Review of Arthroscopic Volar Scapholunate Complex Repairs

Article in several languages: español | English
1   Departamento de Microcirugía Reconstructiva y de la Mano, Hospital General de Singapur, Singapur, Singapur
,
2   Departamento de Cirugía Ortopédica, Mayo Clinic, Minnesota, Estados Unidos
› Author Affiliations


Funding The author(s) received no financial support for this article's research, authorship, and/or publication.
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Abstract

While the volar scapholunate complex's role in wrist stability is increasingly recognized, the literature on its repair techniques and outcomes remains limited. This paper seeks to fill that gap by providing a comprehensive overview of the volar scapholunate complex's anatomy, biomechanics, and clinical significance alongside the most up-to-date arthroscopic repair techniques. By presenting the advancements and challenges of these minimally invasive approaches, we aim to encourage further research and development in addressing this underappreciated yet critical aspect of scapholunate instability.



Publication History

Received: 24 March 2025

Accepted: 02 May 2025

Article published online:
21 July 2025

© 2025. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referencias

  • 1 Ho PC, Wong CW, Tse WL. Arthroscopic-Assisted Combined Dorsal and Volar Scapholunate Ligament Reconstruction with Tendon Graft for Chronic SL Instability. J Wrist Surg 2015; 4 (04) 252-263
  • 2 Sandow M, Fisher T. Anatomical anterior and posterior reconstruction for scapholunate dissociation: preliminary outcome in ten patients. J Hand Surg Eur Vol 2020; 45 (04) 389-395
  • 3 Bain GI, Watts AC, McLean J, Lee YC, Eng K. Cable-Augmented, Quad Ligament Tenodesis Scapholunate Reconstruction. J Wrist Surg 2015; 4 (04) 246-251
  • 4 Berger RA, Imeada T, Berglund L, An KN. Constraint and material properties of the subregions of the scapholunate interosseous ligament. J Hand Surg Am 1999; 24 (05) 953-962
  • 5 Viegas SF, Yamaguchi S, Boyd NL, Patterson RM. The dorsal ligaments of the wrist: anatomy, mechanical properties, and function. J Hand Surg Am 1999; 24 (03) 456-468
  • 6 Overstraeten LV, Camus EJ, Wahegaonkar A. et al. Anatomical Description of the Dorsal Capsulo-Scapholunate Septum (DCSS)-Arthroscopic Staging of Scapholunate Instability after DCSS Sectioning. J Wrist Surg 2013; 2 (02) 149-154
  • 7 Pérez AJ, Jethanandani RG, Vutescu ES, Meyers KN, Lee SK, Wolfe SW. Role of Ligament Stabilizers of the Proximal Carpal Row in Preventing Dorsal Intercalated Segment Instability: A Cadaveric Study. J Bone Joint Surg Am 2019; 101 (15) 1388-1396
  • 8 Özkan S, Kheterpal A, Palmer WE, Chen NC. Dorsal Extrinsic Ligament Injury and Static Scapholunate Diastasis on Magnetic Resonance Imaging Scans. J Hand Surg Am 2019; 44 (08) 641-648
  • 9 Sennwald GR, Zdravkovic V, Oberlin C. The anatomy of the palmar scaphotriquetral ligament. J Bone Joint Surg Br 1994; 76 (01) 147-149
  • 10 Drewniany JJ, Palmer AK, Flatt AE. The scaphotrapezial ligament complex: an anatomic and biomechanical study. J Hand Surg Am 1985; 10 (04) 492-498
  • 11 Masquelet AC, Strube F, Nordin JY. The isolated scapho-trapezio-trapezoid ligament injury. Diagnosis and surgical treatment in four cases. J Hand Surg [Br] 1993; 18 (06) 730-735
  • 12 Hankin FM, Amadio PC, Wojtys EM, Braunstein EM. Carpal instability with volar flexion of the proximal row associated with injury to the scapho-trapezial ligament: report of two cases. J Hand Surg [Br] 1988; 13 (03) 298-302
  • 13 Mathoulin C. Treatment of dynamic scapholunate instability dissociation: Contribution of arthroscopy. Hand Surg Rehabil 2016; 35 (06) 377-392
  • 14 Goorens CK, Van Royen K, Atzei A. Arthroscopic Dorsal Round-Block Capsulo-Ligamentoplasty for Dynamic Scapholunate Instability: An Anatomical Study and Case Series. J Wrist Surg 2024;13(06):
  • 15 de Villeneuve Bargemon JB, Mathoulin C, Jaloux C, Levadoux M, Gras M, Merlini L. Wide arthroscopic dorsal capsuloligamentous repair in patients with severe scapholunate instability. Bone Joint J 2023; 105-B (03) 307-314
  • 16 van Kampen RJ, Bayne CO, Moran SL. A New Technique for Volar Capsulodesis for Isolated Palmar Scapholunate Interosseous Ligament Injuries: A Cadaveric Study and Case Report. J Wrist Surg 2015; 4 (04) 239-245
  • 17 del Piñal F, Studer A, Thams C, Glasberg A. An all-inside technique for arthroscopic suturing of the volar scapholunate ligament. J Hand Surg Am 2011; 36 (12) 2044-2046
  • 18 Kakar S, Lui H. Clinical Outcomes of Arthroscopic-Assisted Volar Scapholunate Capsulodesis: A Case Series. J Wrist Surg 2023; 12 (05) 428-432
  • 19 Corella F, Ocampos M, Laredo R, Tabuenca J, Larrainzar-Garijo R. Arthroscopic Volar Capsuloligamentous Reattachment and Reinforcement to Bone. J Wrist Surg 2023; 13 (02) 98-119
  • 20 Goorens CK, Van Royen K, Atzei A. Arthroscopic Volar Extrinsic Plicature of the Volar Extrinsic Ligaments for Chronic Volar Scapholunate Instability. Arthrosc Tech 2024; 13 (06) 102968
  • 21 Sokolow C, Saffar P. Anatomy and histology of the scapholunate ligament. Hand Clin 2001; 17 (01) 77-81
  • 22 Berger RA, Blair WF. The radioscapholunate ligament: a gross and histologic description. Anat Rec 1984; 210 (02) 393-405
  • 23 Bain GI, Amarasooriya M. Scapholunate instability: why are the surgical outcomes still so far from ideal?. J Hand Surg Eur Vol 2023; 48 (03) 257-268
  • 24 Sandow MJ, Fisher TJ, Howard CQ, Papas S. Unifying model of carpal mechanics based on computationally derived isometric constraints and rules-based motion - the stable central column theory. J Hand Surg Eur Vol 2014; 39 (04) 353-363
  • 25 Margulies IG, Xu H, Gopman JM. et al. Narrative Review of Ligamentous Wrist Injuries. J Hand Microsurg 2021; 13 (02) 55-64
  • 26 Watson HK, Black DM. Instabilities of the wrist. Hand Clin 1987; 3 (01) 103-111
  • 27 Dao KD, Solomon DJ, Shin AY, Puckett ML. The efficacy of ultrasound in the evaluation of dynamic scapholunate ligamentous instability. J Bone Joint Surg Am 2004; 86 (07) 1473-1478
  • 28 Kakar S, Breighner RE, Leng S. et al. The Role of Dynamic (4D) CT in the Detection of Scapholunate Ligament Injury. J Wrist Surg 2016; 5 (04) 306-310
  • 29 Trentadue TP, Lopez C, Breighner RE. et al. Assessing carpal kinematics following scapholunate interosseous ligament injury ex vivo using four-dimensional dynamic computed tomography. Clin Biomech (Bristol) 2023; 107: 106007
  • 30 Trentadue TP, Lopez C, Breighner RE. et al. Evaluation of Scapholunate Injury and Repair with Dynamic (4D) CT: A Preliminary Report of Two Cases. J Wrist Surg 2023; 12 (03) 248-260
  • 31 Trentadue TP, Thoreson AR, Lopez C. et al. Detection of scapholunate interosseous ligament injury using dynamic computed tomography-derived arthrokinematics: A prospective clinical trial. Med Eng Phys 2024; 128: 104172
  • 32 Hinchcliff KM, Munaretto N, Dutton LK, Ramazanian T, Kakar S. Wrist Arthroscopy Using the 2R Portal: Is It Safer Than the 1,2 Portal?. Hand (N Y) 2023; 18 (05) 746-750
  • 33 del Piñal F. Dry arthroscopy and its applications. Hand Clin 2011; 27 (03) 335-345
  • 34 Messina JC, Van Overstraeten L, Luchetti R, Fairplay T, Mathoulin CL. The EWAS Classification of Scapholunate Tears: An Anatomical Arthroscopic Study. J Wrist Surg 2013; 2 (02) 105-109
  • 35 Kakar S, Burnier M, Atzei A, Ho PC, Herzberg G, Del Piñal F. Dry Wrist Arthroscopy for Radial-Sided Wrist Disorders. J Hand Surg Am 2020; 45 (04) 341-353
  • 36 Geissler WB, Freeland AE, Savoie FH, McIntyre LW, Whipple TL. Intracarpal soft-tissue lesions associated with an intra-articular fracture of the distal end of the radius. J Bone Joint Surg Am 1996; 78 (03) 357-365
  • 37 Goorens CK, Van Royen K, Scheerlinck T, Duerinckx J, Mathoulin C. How to Perform a Complete Arthroscopic Assessment of the Scapholunate Joint Complex. Arthrosc Tech 2024; 14 (01) 103174
  • 38 Van Overstraeten L, Camus EJ. A systematic method of arthroscopic testing of extrinsic carpal ligaments: implication in carpal stability. Tech Hand Up Extrem Surg 2013; 17 (04) 202-206
  • 39 Abe Y, Doi K, Hattori Y, Ikeda K, Dhawan V. Arthroscopic assessment of the volar region of the scapholunate interosseous ligament through a volar portal. J Hand Surg Am 2003; 28 (01) 69-73
  • 40 Del Piñal F. Arthroscopic volar capsuloligamentous repair. J Wrist Surg 2013; 2 (02) 126-128
  • 41 Lui H, Kakar S. Arthroscopic-Assisted Volar Scapholunate Capsulodesis: A New Technique. J Hand Surg Am 2022; 47 (11) 1124.e1-1124.e6
  • 42 Kakar S, Cantwell S, Couzens G, Smith N, Ross M. Minimally Invasive Radiolunate Imbrication Neutralization (MIRLIN) Procedure. J Hand Surg Am 2025; 50 (03) 385.e1-385.e8
  • 43 Smith NC, Yates SE, Mettyas T. Open Volar STT Ligament Reconstruction to Augment the Mathoulin's Arthroscopic Dorsal Capsuloligamentous Reconstruction: Technique Description and Case Reports. J Wrist Surg 2023; 13 (01) 66-74