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Scapholunate ligament - Wikipedia

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data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox"><tbody><tr><th colspan="2" class="infobox-above" style="background-color:#E0E0E0">Scapholunate ligament</th></tr><tr><td colspan="2" class="infobox-image"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Carpus.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/5/50/Carpus.png/250px-Carpus.png" decoding="async" width="250" height="182" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/50/Carpus.png/375px-Carpus.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/50/Carpus.png/500px-Carpus.png 2x" data-file-width="740" data-file-height="540" /></a></span><div class="infobox-caption">Shown is the right hand, palm down (left) and palm up (right). A=<a href="/wiki/Scaphoid" class="mw-redirect" title="Scaphoid">Scaphoid</a>, B=<a href="/wiki/Lunate_bone" title="Lunate bone">Lunate</a></div></td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.25em">From</th><td class="infobox-data"><a href="/wiki/Scaphoid" class="mw-redirect" title="Scaphoid">Scaphoid</a></td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.25em">To</th><td class="infobox-data"><a href="/wiki/Lunate_bone" title="Lunate bone">Lunate</a></td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.25em"><a href="/wiki/Terminologia_Anatomica" title="Terminologia Anatomica">TA2</a></th><td class="infobox-data"><a rel="nofollow" class="external text" href="https://ta2viewer.openanatomy.org/?id=1819">1819</a></td></tr><tr><td colspan="2" class="infobox-below"><a href="/wiki/Anatomical_terminology" title="Anatomical terminology">Anatomical terminology</a><div style="text-align: right;"><small class="noprint">&#91;<a href="https://www.wikidata.org/wiki/Q1130012" class="extiw" title="d:Q1130012">edit on Wikidata</a>]</small></div></td></tr></tbody></table> <p>The <b>scapholunate ligament</b> is a <a href="/wiki/Ligament" title="Ligament">ligament</a> of the <a href="/wiki/Wrist" title="Wrist">wrist</a>.<sup id="cite_ref-MillerHart2009_1-0" class="reference"><a href="#cite_note-MillerHart2009-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> </p><p>Rupture of the scapholunate ligament causes <b>scapholunate instability</b>, which, if untreated, will eventually cause a predictable pattern of <a href="/wiki/Wrist_osteoarthritis" title="Wrist osteoarthritis">wrist osteoarthritis</a> called <a href="/wiki/Scapholunate_advanced_collapse" title="Scapholunate advanced collapse">scapholunate advanced collapse</a> (SLAC).<sup id="cite_ref-TischlerDiaz2014_2-0" class="reference"><a href="#cite_note-TischlerDiaz2014-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Anatomy">Anatomy</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Scapholunate_ligament&amp;action=edit&amp;section=1" title="Edit section: Anatomy"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The scapholunate ligament is an <a href="/wiki/Intercarpal_articulations" class="mw-redirect" title="Intercarpal articulations">intraarticular</a> ligament binding the <a href="/wiki/Scaphoid_bone" title="Scaphoid bone">scaphoid</a> and <a href="/wiki/Lunate_bone" title="Lunate bone">lunate</a> bones of the wrist together. It is divided into three areas, <a href="/wiki/Dorsum_(anatomy)" class="mw-redirect" title="Dorsum (anatomy)">dorsal</a>, <a href="/wiki/Anatomical_terms_of_location#Proximal_and_distal" title="Anatomical terms of location">proximal</a> and <a href="/wiki/Anatomical_terms_of_location#Appendages" title="Anatomical terms of location">palmar</a>, with the dorsal segment being the strongest part.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> It is the main <a href="/wiki/Joint_stability" title="Joint stability">stabilizer</a> of the scaphoid. In contrast to the scapholunate ligament, the lunotriquetral ligament is more prominent on the palmar side. </p> <div class="mw-heading mw-heading2"><h2 id="Instability">Instability</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Scapholunate_ligament&amp;action=edit&amp;section=2" title="Edit section: Instability"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Complete <a href="/wiki/Sprain" title="Sprain">rupture</a> of this ligament leads to wrist instability. The main type of such instability is <a href="/wiki/Dorsal_intercalated_segment_instability" title="Dorsal intercalated segment instability">dorsal intercalated segment instability</a> (DISI) deformity, where the lunate angulates to the posterior side of the hand.<sup id="cite_ref-CMShah_4-0" class="reference"><a href="#cite_note-CMShah-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-SOmori_5-0" class="reference"><a href="#cite_note-SOmori-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p><p>A <i>dynamic scapholunate instability</i> is where the scapholunate ligament is completely ruptured, but secondary scaphoid stabilizers are still preserved;<sup id="cite_ref-FairplayCozzolino2013_6-0" class="reference"><a href="#cite_note-FairplayCozzolino2013-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> these are the scaphotrapezial (ST), scaphocapitate (SC) and radioscaphocapitate (RSC) ligaments.<sup id="cite_ref-FairplayCozzolino2013_6-1" class="reference"><a href="#cite_note-FairplayCozzolino2013-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> In a <i>static scapholunate instability</i>, these other ligaments are ruptured as well. </p> <div class="mw-heading mw-heading3"><h3 id="Diagnosis">Diagnosis</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Scapholunate_ligament&amp;action=edit&amp;section=3" title="Edit section: Diagnosis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/Projectional_radiography" title="Projectional radiography">X-ray</a> images indicate scapholunate ligament instability when the scapholunate distance is more than 3&#160;mm, which is called <i>scapholunate dissociation</i>.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> A static scapholunate instability is generally readily visible, but a dynamic scapholunate instability can only be seen radiographically in certain wrist positions or under certain loading conditions, such as when clenching the wrist, or loading the wrist in ulnar deviation.<sup id="cite_ref-FairplayCozzolino2013_6-2" class="reference"><a href="#cite_note-FairplayCozzolino2013-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> </p><p>In order to diagnose a SLAC wrist you need a posterior anterior (PA) view X-ray, a lateral view X-ray and a fist view X-ray.<sup id="cite_ref-RANovelline_8-0" class="reference"><a href="#cite_note-RANovelline-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> The fist X-ray is often made if there is no convincing <a href="/wiki/Terry_Thomas_sign" class="mw-redirect" title="Terry Thomas sign">Terry Thomas sign</a>. A fist X-ray of a scapholunate ligament rupture will show a descending capitate bone. Making a fist will give pressure at the capitate, which will descend if there is a rupture in the scapholunate ligament. </p><p>The <a href="/wiki/Watson%27s_test" title="Watson&#39;s test">Watson's test</a> may be used in diagnosis. </p> <ul class="gallery mw-gallery-traditional"> <li class="gallerybox" style="width: 155px"> <div class="thumb" style="width: 150px; height: 150px;"><span typeof="mw:File"><a href="/wiki/File:ScaphoLuncateDisoMark.png" class="mw-file-description" title="Static scapholunate dissociation"><img alt="Static scapholunate dissociation" src="//upload.wikimedia.org/wikipedia/commons/thumb/7/79/ScaphoLuncateDisoMark.png/115px-ScaphoLuncateDisoMark.png" decoding="async" width="115" height="120" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/79/ScaphoLuncateDisoMark.png/173px-ScaphoLuncateDisoMark.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/79/ScaphoLuncateDisoMark.png/231px-ScaphoLuncateDisoMark.png 2x" data-file-width="501" data-file-height="521" /></a></span></div> <div class="gallerytext"><i>Static</i> scapholunate dissociation</div> </li> <li class="gallerybox" style="width: 155px"> <div class="thumb" style="width: 150px; height: 150px;"><span typeof="mw:File"><a href="/wiki/File:X-ray_of_dynamic_scapholunate_instability_-_annotated.jpg" class="mw-file-description" title="Dynamic instability: Increased scapholunate distance (between yellow lines) upon ulnar deviation of the wrist, but not otherwise."><img alt="Dynamic instability: Increased scapholunate distance (between yellow lines) upon ulnar deviation of the wrist, but not otherwise." src="//upload.wikimedia.org/wikipedia/commons/thumb/7/7f/X-ray_of_dynamic_scapholunate_instability_-_annotated.jpg/120px-X-ray_of_dynamic_scapholunate_instability_-_annotated.jpg" decoding="async" width="120" height="98" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/7f/X-ray_of_dynamic_scapholunate_instability_-_annotated.jpg/180px-X-ray_of_dynamic_scapholunate_instability_-_annotated.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/7f/X-ray_of_dynamic_scapholunate_instability_-_annotated.jpg/240px-X-ray_of_dynamic_scapholunate_instability_-_annotated.jpg 2x" data-file-width="847" data-file-height="690" /></a></span></div> <div class="gallerytext">Dynamic instability: Increased scapholunate distance (between yellow lines) upon ulnar deviation of the wrist, but not otherwise.</div> </li> <li class="gallerybox" style="width: 155px"> <div class="thumb" style="width: 150px; height: 150px;"><span typeof="mw:File"><a href="/wiki/File:Dynamic_S-L-grip.jpg" class="mw-file-description" title="Dynamic scapholunate instability visible upon clenching the wrist"><img alt="Dynamic scapholunate instability visible upon clenching the wrist" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/6c/Dynamic_S-L-grip.jpg/87px-Dynamic_S-L-grip.jpg" decoding="async" width="87" height="120" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/6c/Dynamic_S-L-grip.jpg/130px-Dynamic_S-L-grip.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/6c/Dynamic_S-L-grip.jpg/174px-Dynamic_S-L-grip.jpg 2x" data-file-width="250" data-file-height="345" /></a></span></div> <div class="gallerytext">Dynamic scapholunate instability visible upon clenching the wrist</div> </li> <li class="gallerybox" style="width: 155px"> <div class="thumb" style="width: 150px; height: 150px;"><span typeof="mw:File"><a href="/wiki/File:Scapholunatedis.png" class="mw-file-description" title="Scapholunate ligament disruption associated with a Colles&#39; fracture"><img alt="Scapholunate ligament disruption associated with a Colles&#39; fracture" src="//upload.wikimedia.org/wikipedia/commons/thumb/5/57/Scapholunatedis.png/73px-Scapholunatedis.png" decoding="async" width="73" height="120" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/57/Scapholunatedis.png/110px-Scapholunatedis.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/57/Scapholunatedis.png/147px-Scapholunatedis.png 2x" data-file-width="541" data-file-height="882" /></a></span></div> <div class="gallerytext">Scapholunate ligament disruption associated with a <a href="/wiki/Colles%27_fracture" title="Colles&#39; fracture">Colles' fracture</a></div> </li> </ul> <div class="mw-heading mw-heading3"><h3 id="Treatment">Treatment</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Scapholunate_ligament&amp;action=edit&amp;section=4" title="Edit section: Treatment"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Treatment will vary depending upon the degree of injury and can range from observation and direct ligament repair through to reconstruction. </p> <div class="mw-heading mw-heading3"><h3 id="Complications">Complications</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Scapholunate_ligament&amp;action=edit&amp;section=5" title="Edit section: Complications"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">Main article: <a href="/wiki/Wrist_osteoarthritis" title="Wrist osteoarthritis">Wrist osteoarthritis</a></div> <p>Eventually, untreated scapholunate instability generally causes a predictable pattern of <a href="/wiki/Wrist_osteoarthritis" title="Wrist osteoarthritis">wrist osteoarthritis</a> called <a href="/wiki/Scapholunate_advanced_collapse" title="Scapholunate advanced collapse">scapholunate advanced collapse</a> (SLAC).<sup id="cite_ref-TischlerDiaz2014_2-1" class="reference"><a href="#cite_note-TischlerDiaz2014-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Scapholunate_ligament&amp;action=edit&amp;section=6" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap"><ol class="references"> <li id="cite_note-MillerHart2009-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-MillerHart2009_1-0">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFMark_D._MillerJennifer_HartJohn_M._MacKnight2009" class="citation book cs1">Mark D. Miller; Jennifer Hart; John M. MacKnight (10 July 2009). <a rel="nofollow" class="external text" href="https://books.google.com/books?id=5Zr0aHeVXz8C&amp;pg=PA305"><i>Essential Orthopaedics</i></a>. Elsevier Health Sciences. pp.&#160;305–. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/978-1-4160-5473-3" title="Special:BookSources/978-1-4160-5473-3"><bdi>978-1-4160-5473-3</bdi></a><span class="reference-accessdate">. Retrieved <span class="nowrap">1 November</span> 2010</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Essential+Orthopaedics&amp;rft.pages=305-&amp;rft.pub=Elsevier+Health+Sciences&amp;rft.date=2009-07-10&amp;rft.isbn=978-1-4160-5473-3&amp;rft.au=Mark+D.+Miller&amp;rft.au=Jennifer+Hart&amp;rft.au=John+M.+MacKnight&amp;rft_id=https%3A%2F%2Fbooks.google.com%2Fbooks%3Fid%3D5Zr0aHeVXz8C%26pg%3DPA305&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AScapholunate+ligament" class="Z3988"></span></span> </li> <li id="cite_note-TischlerDiaz2014-2"><span class="mw-cite-backlink">^ <a href="#cite_ref-TischlerDiaz2014_2-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-TischlerDiaz2014_2-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFTischlerDiazMurakamiRoemer2014" class="citation journal cs1">Tischler, Brian T.; Diaz, Luis E.; Murakami, Akira M.; Roemer, Frank W.; Goud, Ajay R.; Arndt, William F.; Guermazi, Ali (2014). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141341">"Scapholunate advanced collapse: a pictorial review"</a>. <i>Insights into Imaging</i>. <b>5</b> (4): 407–417. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1007%2Fs13244-014-0337-1">10.1007/s13244-014-0337-1</a>. <a href="/wiki/ISSN_(identifier)" class="mw-redirect" title="ISSN (identifier)">ISSN</a>&#160;<a rel="nofollow" class="external text" href="https://search.worldcat.org/issn/1869-4101">1869-4101</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141341">4141341</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/24891066">24891066</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Insights+into+Imaging&amp;rft.atitle=Scapholunate+advanced+collapse%3A+a+pictorial+review&amp;rft.volume=5&amp;rft.issue=4&amp;rft.pages=407-417&amp;rft.date=2014&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC4141341%23id-name%3DPMC&amp;rft.issn=1869-4101&amp;rft_id=info%3Apmid%2F24891066&amp;rft_id=info%3Adoi%2F10.1007%2Fs13244-014-0337-1&amp;rft.aulast=Tischler&amp;rft.aufirst=Brian+T.&amp;rft.au=Diaz%2C+Luis+E.&amp;rft.au=Murakami%2C+Akira+M.&amp;rft.au=Roemer%2C+Frank+W.&amp;rft.au=Goud%2C+Ajay+R.&amp;rft.au=Arndt%2C+William+F.&amp;rft.au=Guermazi%2C+Ali&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC4141341&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AScapholunate+ligament" class="Z3988"></span></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFBerger2001" class="citation journal cs1">Berger, R. 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Retrieved <span class="nowrap">5 January</span> 2018</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=Radiopaedia&amp;rft.atitle=Scapholunate+advanced+collapse&amp;rft.au=Owen+Kang+and+Henry+Knipe&amp;rft_id=https%3A%2F%2Fradiopaedia.org%2Farticles%2Fscapholunate-interval&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AScapholunate+ligament" class="Z3988"></span></span> </li> <li id="cite_note-RANovelline-8"><span class="mw-cite-backlink"><b><a href="#cite_ref-RANovelline_8-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFNovelline2004" class="citation book cs1">Novelline, RA (2004). <span class="id-lock-registration" title="Free registration required"><a rel="nofollow" class="external text" href="https://archive.org/details/squiresfundament0000nove"><i>Squire's fundamentals of radiology, 6th Edition</i></a></span> (6th&#160;ed.). United States of America: President and fellows of Harvard college. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/0-674-01279-8" title="Special:BookSources/0-674-01279-8"><bdi>0-674-01279-8</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Squire%27s+fundamentals+of+radiology%2C+6th+Edition&amp;rft.place=United+States+of+America&amp;rft.edition=6th&amp;rft.pub=President+and+fellows+of+Harvard+college&amp;rft.date=2004&amp;rft.isbn=0-674-01279-8&amp;rft.aulast=Novelline&amp;rft.aufirst=RA&amp;rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fsquiresfundament0000nove&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AScapholunate+ligament" class="Z3988"></span></span> </li> </ol></div></div> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1129693374">.mw-parser-output .hlist dl,.mw-parser-output .hlist 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href="/wiki/Shoulder" title="Shoulder">Shoulder</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Sternoclavicular_joint" title="Sternoclavicular joint">Sternoclavicular</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Anterior_sternoclavicular_ligament" title="Anterior sternoclavicular ligament">Anterior sternoclavicular</a></li> <li><a href="/wiki/Posterior_sternoclavicular_ligament" title="Posterior sternoclavicular ligament">Posterior sternoclavicular</a></li> <li><a href="/wiki/Interclavicular_ligament" title="Interclavicular ligament">Interclavicular</a></li> <li><a href="/wiki/Costoclavicular_ligament" title="Costoclavicular ligament">Costoclavicular</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Acromioclavicular_joint" title="Acromioclavicular joint">Acromioclavicular</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Syndesmosis" title="Syndesmosis">Syndesmoses</a>: <a href="/wiki/Coracoacromial_ligament" title="Coracoacromial ligament">Coracoacromial</a></li> <li><a href="/wiki/Superior_transverse_scapular_ligament" title="Superior transverse scapular ligament">Superior transverse scapular</a></li> <li><a href="/wiki/Inferior_transverse_ligament_of_scapula" title="Inferior transverse ligament of scapula">Inferior transverse of scapula</a></li></ul> <ul><li><a href="/wiki/Synovial_joint" title="Synovial joint">Synovial</a>: <a href="/wiki/Acromioclavicular_ligament" title="Acromioclavicular ligament">Acromioclavicular</a></li> <li><a href="/wiki/Coracoclavicular_ligament" title="Coracoclavicular ligament">Coracoclavicular</a> (<a href="/wiki/Trapezoid_ligament" title="Trapezoid ligament">trapezoid</a></li> <li><a href="/wiki/Conoid_ligament" title="Conoid ligament">conoid</a>)</li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Glenohumeral_joint" class="mw-redirect" title="Glenohumeral joint">Glenohumeral</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Articular_capsule_of_the_humerus" class="mw-redirect" title="Articular capsule of the humerus">Capsule</a></li> <li><a href="/wiki/Coracohumeral_ligament" title="Coracohumeral ligament">Coracohumeral</a></li> <li><a href="/wiki/Glenohumeral_ligaments" title="Glenohumeral ligaments">Glenohumeral (superior, middle, and inferior)</a></li> <li><a href="/wiki/Transverse_humeral_ligament" title="Transverse humeral ligament">Transverse humeral</a></li> <li><a href="/wiki/Glenoid_labrum" title="Glenoid labrum">Glenoid labrum</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Elbow" title="Elbow">Elbow</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Humeroradial_joint" title="Humeroradial joint">Humeroradial</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Radial_collateral_ligament_of_elbow_joint" title="Radial collateral ligament of elbow joint">Radial collateral</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Humeroulnar_joint" title="Humeroulnar joint">Humeroulnar</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Ulnar_collateral_ligament_of_elbow_joint" title="Ulnar collateral ligament of elbow joint">Ulnar collateral</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Proximal_radioulnar_articulation" title="Proximal radioulnar articulation">Proximal radioulnar</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Anular_ligament_of_radius" class="mw-redirect" title="Anular ligament of radius">Anular</a></li> <li><a href="/wiki/Oblique_cord" title="Oblique cord">Oblique cord</a></li> <li><a href="/wiki/Quadrate_ligament" title="Quadrate ligament">Quadrate</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Forearm" title="Forearm">Forearm</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="Distal_radioulnar" scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Distal_radioulnar_articulation" title="Distal radioulnar articulation">Distal radioulnar</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Palmar_radioulnar_ligament" title="Palmar radioulnar ligament">Palmar radioulnar</a></li> <li><a href="/wiki/Dorsal_radioulnar_ligament" title="Dorsal radioulnar ligament">Dorsal radioulnar</a></li> <li><a href="/wiki/Interosseous_membrane_of_forearm" title="Interosseous membrane of forearm">Interosseous membrane of forearm</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Hand" title="Hand">Hand</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Wrist" title="Wrist">Wrist/radiocarpal</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Dorsal_radiocarpal_ligament" title="Dorsal radiocarpal ligament">Dorsal radiocarpal</a>/<a href="/wiki/Palmar_radiocarpal_ligament" title="Palmar radiocarpal ligament">Palmar radiocarpal</a></li> <li><a href="/wiki/Dorsal_ulnocarpal_ligament" title="Dorsal ulnocarpal ligament">Dorsal ulnocarpal</a>/<a href="/wiki/Palmar_ulnocarpal_ligament" title="Palmar ulnocarpal ligament">Palmar ulnocarpal</a></li> <li><a href="/wiki/Ulnar_collateral_ligament_of_wrist_joint" class="mw-redirect" title="Ulnar collateral ligament of wrist joint">Ulnar collateral</a>/<a href="/wiki/Radial_collateral_ligament_of_wrist_joint" title="Radial collateral ligament of wrist joint">Radial collateral</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Intercarpal_joints" title="Intercarpal joints">Intercarpal</a> <ul><li><a href="/wiki/Midcarpal_joint" title="Midcarpal joint">Midcarpal</a></li></ul></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <li><a href="/wiki/Radiate_carpal_ligament" title="Radiate carpal ligament">Radiate carpal</a></li> <li><a href="/wiki/Dorsal_intercarpal_ligament" title="Dorsal intercarpal ligament">Dorsal intercarpal</a></li> <li><a href="/wiki/Palmar_intercarpal_ligaments" title="Palmar intercarpal ligaments">Palmar intercarpal</a></li> <li><a href="/wiki/Interosseous_intercarpal_ligaments" title="Interosseous intercarpal ligaments">Interosseous intercarpal</a></li> <li><a class="mw-selflink selflink">Scapholunate</a></li> <li><a href="/wiki/Pisiform_joint" title="Pisiform joint">Pisiform joint</a> (<a href="/wiki/Pisohamate_ligament" title="Pisohamate ligament">Pisohamate</a></li> <li><a href="/wiki/Pisometacarpal_ligament" title="Pisometacarpal ligament">Pisometacarpal</a>)</li> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Carpometacarpal_joint" title="Carpometacarpal joint">Carpometacarpal</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Dorsal_carpometacarpal_ligaments" title="Dorsal carpometacarpal ligaments">Dorsal carpometacarpal</a></li> <li><a href="/wiki/Palmar_carpometacarpal_ligaments" title="Palmar carpometacarpal ligaments">Palmar carpometacarpal</a></li> <li><i><a href="/wiki/Carpometacarpal_joint#Thumb" title="Carpometacarpal joint">thumb</a>:</i> <a href="/wiki/Radial_collateral_ligament_of_thumb" title="Radial collateral ligament of thumb">Radial collateral</a></li> <li><a href="/wiki/Ulnar_collateral_ligament_of_thumb" title="Ulnar collateral ligament of thumb">Ulnar collateral</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Intermetacarpal_joints" title="Intermetacarpal joints">Intermetacarpal</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Deep_transverse_metacarpal_ligament" title="Deep transverse metacarpal ligament">Deep transverse metacarpal</a></li> <li><a href="/wiki/Superficial_transverse_metacarpal_ligament" class="mw-redirect" title="Superficial transverse metacarpal ligament">Superficial transverse metacarpal</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Metacarpophalangeal_joint" title="Metacarpophalangeal joint">Metacarpophalangeal</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Collateral_ligaments_of_metacarpophalangeal_joints" title="Collateral ligaments of metacarpophalangeal joints">Collateral</a></li> <li><a href="/wiki/Palmar_plate" title="Palmar plate">Palmar</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Interphalangeal_joints_of_hand" class="mw-redirect" title="Interphalangeal joints of hand">Interphalangeal</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Collateral_ligament_of_interphalangeal_joints_of_hand" title="Collateral ligament of interphalangeal joints of hand">Collateral</a></li> <li><a href="/wiki/Palmar_plate" title="Palmar plate">Palmar</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Carpal_tunnel" title="Carpal tunnel">Carpal tunnel</a></li> <li><a href="/wiki/Ulnar_canal" title="Ulnar canal">Ulnar canal</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table></div> <p class="mw-empty-elt"> </p> <!-- NewPP limit report Parsed by mw‐web.eqiad.main‐75c465f4c6‐p6fs7 Cached time: 20241125123837 Cache expiry: 2592000 Reduced expiry: false Complications: [vary‐revision‐sha1, show‐toc] CPU time usage: 0.364 seconds Real time usage: 0.510 seconds Preprocessor visited node count: 1709/1000000 Post‐expand include size: 63856/2097152 bytes Template argument size: 1049/2097152 bytes Highest expansion depth: 12/100 Expensive 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