title: Scapholunate and perilunate injuries in the athlete.
abstract: OBJECTIVE
  Scapholunate and perilunate injuries can be difficult to diagnose and treat in the athlete. In this review article, we present the mechanism of injury, evaluation, management, and outcomes of treatment for these injuries.
  
  
  RESULTS
  Acute repair of dynamic scapholunate ligament injuries remains the gold standard, but judicious use of a wrist splint can be considered for the elite athlete who is in season. The treatment of static scapholunate ligament injury remains controversial. Newer SL reconstructive techniques that aim to restore scapholunate function without compromising wrist mobility as much as tenodesis procedures show promise in athlete patients. Acute injuries to the scapholunate ligament are best treated aggressively in order to prevent the sequelae of wrist arthritis associated with long-standing ligamentous injury. Acute repair is favored. Reconstructive surgical procedures to manage chronic scapholunate injury remain inferior to acute repair. The treatment of lunotriquetral ligament injuries is not well defined.
authors.affiliation: Department of Orthopaedics & Rehabilitation, University of Vermont College of Medicine, 95 Carrigan Drive Stafford Hall, Burlington, VT, 05405, USA.
authors.forename: Nathan T
authors.initials: NT
authors.lastname: Morrell
authors.affiliation: Department of Orthopaedics & Rehabilitation, University of Vermont College of Medicine, 95 Carrigan Drive Stafford Hall, Burlington, VT, 05405, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Moyer
authors.affiliation: University of Vermont College of Medicine, The University of Vermont Medical Center, Burlington, VT, USA.
authors.forename: Noah
authors.initials: N
authors.lastname: Quinlan
authors.affiliation: Department of Orthopaedics & Rehabilitation, University of Vermont College of Medicine, 95 Carrigan Drive Stafford Hall, Burlington, VT, 05405, USA. Adam.Shafritz@med.uvm.edu.
authors.forename: Adam B
authors.initials: AB
authors.lastname: Shafritz
keywords: Athletic injury; DISI; Lunotriquetral ligament; Scapholunate ligament; Wrist instability; Wrist sprain