Skeletal Radiology

, Volume 46, Issue 12, pp 1615–1623 | Cite as

Update on operative treatment of scapholunate (SL) instability for radiologists: part 1-SL ligament repair, dorsal capsulodesis and SL ligament reconstruction

  • Kimia Khalatbari Kani
  • Hyojeong Mulcahy
  • Jack Porrino
  • Aaron Daluiski
  • Felix S. Chew
Review Article


Scapholunate instability is the most common form of carpal instability. Imaging (especially radiography) plays an important role in the staging, management and post-operative follow-up of scapholunate (SL) instability. The goals of this article are to review the pre-operative staging of SL instability, the surgical options for repair and reconstruction of the SL ligament, along with the normal postoperative imaging findings as well as complications associated with these surgical options.


Scapholunate instability Dorsal capsulodesis Scapholunate ligament reconstruction Bone-ligament-bone transplants Reduction and association of the scaphoid and lunate (RASL) Scapholunate axis method (SLAM) 



Sincere thanks to Dr. Rajesh Nair for reviewing the manuscript.

Compliance with ethical standards

Conflicts of interest, research involving human participants and/or animals, and informed consent

None; Not applicable.

Grants, disclosures, or other assistance



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Copyright information

© ISS 2017

Authors and Affiliations

  • Kimia Khalatbari Kani
    • 1
  • Hyojeong Mulcahy
    • 2
  • Jack Porrino
    • 2
  • Aaron Daluiski
    • 3
  • Felix S. Chew
    • 2
  1. 1.Virginia Radiology Associates, P.C.ManassasUSA
  2. 2.University of Washington RadiologySeattleUSA
  3. 3.Hand and Upper Extremity Surgery, Department of OrthopedicsHospital for Special SurgeryNew YorkUSA

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