Injury to the Scapholunate Complex: Shouldn't We Look at the Problem the Other Way Round?

Lesions of the scapholunate complex represent a varied spectrum of lesions due to the different ligament structures involved and the subtle biomechanics of the carpus.[1] As a result of this biomechanical instability, the scaphoid and lunate will cause joint conflicts, leading to carpal osteoarthritis in the long term. Garcia-Elias, by answering five questions, has provided a classification of Scapholunate (SL) instability that can guide a decision-making algorithm based on the known evolution of scapholunate instability[2]: