“Concepts and Artistry in the Treatment of Scapho-Lunate Ligament Injuries.”

Scapho-lunate ligament injuries are highly challenging injuries to treat. Great uncertainly remains in determining which operative procedures are most effective. Furthermore, there is no consensus on whether surgical intervention changes the natural course of SL injuries. We present our assessment of SL injuries and the senior author's preferred surgical techniques.1 Surgical videos are included. Operative procedures are selected based on the patient's timing and pattern of injury, degree of associated carpal changes and arthritis, and goals. Our post-operative management is described. Over the past 20 years, the senior author has had good success with these techniques but prospective, long-term outcome studies are needed to critically assess if these surgical techniques improve patients' long-term function and pain. Financial Disclosure Statement: Research reported in this publication was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under Award Number 2 K24-AR053120-06. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This paper has not been presented. All authors were involved in all steps of writing this manuscript. Dr. Kevin C. Chung takes final responsibility for the manuscript. Institutional review board was not required for this manuscript. Corresponding author: Kevin C. Chung, MD, MS, Section of Plastic Surgery, The University of Michigan Health System, 1500 E. Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, Michigan, USA, 48109-0340, kecchung@med.umich.edu ©2018American Society of Plastic Surgeons

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