Your hand surgeon will discuss the best option for you and your lifestyle. A fusion means biologically linking two bones together to prevent them from moving to reduce pain. This may include removal of some bones or partial wrist fusion. There are many kinds of surgeries to help improve wrist function after arthritis develops. Occasionally, cutting the nerves to the inside of the wrist (wrist denervation) can help with pain.
In these cases, the goal is pain control and trying to preserve some function. In chronic injuries, it is often too late to prevent arthritis or change the alignment of the wrist bones. There are other options available when the injury has become more chronic. Repair or reconstruction of the ligament can lead to wrist stiffness, but the wrist will be more stable. This can be done with arthroscopy or an open surgery. If this non-operative treatment does not work, surgery may be considered to repair or reconstruct the ligament to help align the wrist bones. Cortisone shots (steroid injections) and anti-inflammatory medications can help with pain but do not correct the alignment of the wrist bones. Sometimes hand therapy can be helpful if the wrist is stiff after wearing a splint or cast. This may take 6 or more weeks to feel better. This may include wearing a wrist splint or cast, decreasing activity and resting the wrist. If you had a recent scapholunate ligament injury, the early goal of treatment will be pain control. Your treatment options will vary based on the degree of your injury and how long it has been since injury. Your hand surgeon will discuss your options for treatment. The goals of treatment are to decrease pain and prevent arthritis. This is because the bones of the wrist are no longer held in normal alignment. If left untreated, a torn ligament typically leads to arthritis over time. By doing this, they can evaluate the ligaments of the wrist directly.Ī scapholunate torn ligament does not heal on its own. Wrist arthroscopy allows the surgeon to use a small camera to see inside the wrist joint. Some surgeons will also recommend arthroscopy. Sometimes having a radiologist inject dye into the joint before the MRI helps to find a torn ligament. MRI allows your surgeon to see the degree of ligament injury. An MRI is sometimes needed to confirm the diagnosis. When it is injured, the scaphoid and lunate move apart and a gap is visible (Figure 2). This ligament usually holds the scaphoid and the lunate together. The spacing and alignment of the bones in the wrist changes when the scapholunate ligament is injured or you have a torn ligament. Although ligaments are not visible on an X-ray, it will show the bones of your wrist. X-rays are often used to help understand your wrist pain. Your surgeon may compare the injured wrist with the uninjured wrist. Your doctor will examine your wrist to see where it hurts and to check how it moves.
The diagnosis of a scapholunate ligament injury may be difficult to make. Some people, though, will only notice a problem many years after the initial injury. The pain and swelling you feel with a scapholunate ligament injury may happen right after an injury. Pain and swelling that has developed over several days, usually on the back side of the wrist.A wrist with an injured scapholunate ligament is often swollen and painful, especially with certain motions.
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