Pearls

Obtain "clenched fist" view X-rays of both wrists to evaluated for a gap between the scaphoid and lunate.

Pediatrics: the non-ossified proximal pole of the scaphoid can mimic the appearance a scapholunate ligament injury.

Complications

Missed injuries can lead to scapholunate advanced collapse (SLAC), arthritis and reduced grip strength.

DISI is the complication of chronic scapholunate ligament injury.