Zhou Joanne Y, Jodah Riasoya, Joseph Lauren P, Yao Jeffrey
Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood City, CA.
Stanford School of Medicine, Palo Alto, CA.
J Hand Surg Glob Online. 2024 Apr 1;6(3):245-267. doi: 10.1016/j.jhsg.2024.01.015. eCollection 2024 May.
Injuries to the scapholunate interosseous ligament (SLIL) complex can result in a predictable cascade of incongruous motion in the carpus that leads to radiocarpal degeneration. Both acute traumatic impact and repetitive motion can render the SLIL insufficient. A thorough understanding of SLIL anatomy is required for appropriate diagnosis and treatment. Here, we review scapholunate ligament anatomy, prevention strategies, methods of diagnosis, nonoperative and operative treatments, and outcomes. A myriad of treatment options exist for each stage of the SLIL injury, and management should be an open discussion between the patient and physician.
舟月骨间韧带(SLIL)复合体损伤可导致腕骨出现一系列可预测的不协调运动,进而导致桡腕关节退变。急性创伤性撞击和重复性运动均可致使SLIL功能不全。为了进行恰当的诊断和治疗,需要对SLIL的解剖结构有透彻的了解。在此,我们回顾舟月韧带的解剖结构、预防策略、诊断方法、非手术及手术治疗方法以及治疗效果。对于SLIL损伤的每个阶段都有众多治疗选择,治疗方案应是患者与医生之间的充分讨论。