Scapholunate (SLIL)

Scapholunate (SLIL) Injury Treatment in Dubai at Emirates Hospitals Group. Scapholunate injuries, involving the scapholunate ligament that connects the scaphoid and lunate bones in the wrist, can significantly impair wrist function and quality of life. At Emirates Hospitals Group, we pride ourselves on having the best hand and wrist surgeons in Dubai, specializing in the comprehensive treatment of scapholunate injuries. Our expert team uses advanced diagnostic tools and cutting-edge treatment options to ensure optimal outcomes and restore wrist functionality.

• Know About Scapholunate Injuries
• Symptoms & Causes
• Diagnosis & Treatment

Know About Scapholunate Injuries

The scapholunate ligament is a critical component of wrist stability, linking the scaphoid and lunate bones. This ligament supports the wrist’s structural integrity and helps in smooth wrist movements. When this ligament is injured, it can lead to instability and misalignment of the wrist bones, potentially causing chronic pain and reduced function. Scapholunate injuries can range from minor sprains to complete tears, and timely intervention is essential to prevent long-term complications.

Symptoms

Symptoms of scapholunate injuries can vary depending on the severity of the injury but typically include:

1. Wrist Pain: Persistent pain on the thumb side of the wrist, which may worsen with activity or movement.
2. Swelling: Swelling around the wrist, often noticeable in the area where the scaphoid and lunate bones are located.
3. Reduced Range of Motion: Difficulty in moving the wrist fully, particularly with twisting or gripping motions.
4. Weakness: Decreased grip strength and difficulty performing tasks that require wrist stability.
5. Clicking or Popping: A sensation of clicking or popping in the wrist, especially during certain movements.

Causes

Scapholunate injuries can be caused by a variety of factors:

1. Trauma: Direct trauma to the wrist, such as falls or accidents, can cause scapholunate ligament tears. Common in sports and high-impact activities.
2. Repetitive Stress: Repeated stress on the wrist from activities like heavy lifting or repetitive wrist motions can lead to ligament damage.
3. Degenerative Conditions: Wear and tear over time or conditions such as arthritis can weaken the scapholunate ligament, increasing the risk of injury.
4. Acute Injury: Sudden, forceful movements or impacts can cause immediate scapholunate injury, often seen in sports or accidents.

Diagnosis

Accurate diagnosis of scapholunate injuries involves a thorough assessment by our skilled hand and wrist surgeons:

1. Medical History and Physical Examination: Initial assessment includes discussing symptoms, injury history, and conducting a physical examination to evaluate pain, swelling, and wrist function.
2. Imaging Studies:
   • X-rays: To identify any visible fractures or dislocations and assess joint alignment.
   • MRI (Magnetic Resonance Imaging): Provides detailed images of soft tissues, including the scapholunate ligament, to evaluate the extent of damage.
   • CT Scan: In certain cases, a CT scan may be used to obtain a more detailed view of the wrist bones and ligament injuries.
   • Arthroscopy: Wrist arthroscopy may be performed to directly visualize the scapholunate ligament and assess its condition.
3. Functional Tests: Evaluating wrist function and assessing the impact of the injury on daily activities and movements.

Treatment

Treatment for scapholunate injuries aims to relieve pain, restore wrist stability, and enhance function. At Emirates Hospitals Group, our treatment approach includes:

1. Non-Surgical Treatments:
   • Rest and Immobilization: Using splints or braces to immobilize the wrist and allow the scapholunate ligament to heal.
   • Ice Therapy: Applying ice to the affected area to reduce swelling and numb pain, typically for 15-20 minutes several times a day.
   • Pain Relief: Over-the-counter pain medications or prescribed drugs to control pain and inflammation.
   • Physical Therapy: Customized exercises to strengthen the wrist, improve flexibility, and restore function.
2. Surgical Treatments:
   • Arthroscopic Surgery: Minimally invasive surgery to repair or reconstruct the damaged scapholunate ligament. This involves inserting a small camera and surgical instruments through small incisions in the wrist.
   • Open Surgery: In more severe cases, open surgery may be necessary to repair or reconstruct the scapholunate ligament and restore wrist stability.