The scapholunate ligament is the most commonly injured wrist ligament that requires surgical treatment. Twisting injuries or falls are the commonest mechanisms. Acute injuries can require surgery, and in most cases within 3 weeks of injury. Diagnosis is based on examination, X-rays and MRI scans. Sometimes an arthroscopy is needed to confirm the diagnosis and plan treatment.
Repair of the ligament is possible, and needs support of temporary k wires to hold the wrist bones in place while the repair heals. The rehabilitation time is long, often taking 6 months or more to return to full function.
Reconstruction is needed in some acute injuries and in longer duration cases. The surgery uses a strip of tendon weaved through and around the wrist joint and its individual bones, similar to an ACL reconstruction.
Solutions for wrist ligament problems need to be tailored to the individual and their circumstances. A careful examination of your wrist and discussion of options is the only way to personalise that care.