Upper limb
Intrinsic intercarpal ligaments (Scapholunate, Lunotriquetral, Radiate, etc.)
Ligamenta intercarpalia (SL, LT, STT, Radiate, etc.)
- Origin
- Articular margins and interosseous zones of all 8 carpal bones
- Insertion
- Connects proximal and distal carpal rows into a cohesive functional arch
- Function
- Critical intrinsic stabilizers: Scapholunate (SL) ligament prevents DISI deformity (dorsal intercalated segment instability); Lunotriquetral (LT) prevents VISI; Radiate carpal ligament stabilizes capitate keystone
- Innervation
- Posterior interosseous nerve and deep branch of ulnar nerve (C6–C8)
- Movement & chain
- Permits precise micro-motions and Dart-Thrower's motion plane (extension-radial deviation to flexion-ulnar deviation)
- Palpation
- SL joint palpable 1 cm distal to Lister's tubercle; LT joint palpable dorsoulnarly
- Clinical
- Scapholunate dissociation ('Terry Thomas sign'); SLAC wrist arthrosis; Lunotriquetral dissociation (VISI); positive Watson scaphoid shift test.
- Segmental innervation
- C6–C8
- In clinical practice
- Watson test, Dart-thrower's motion rehabilitation (spares SL ligament stress), and dynamic neuromuscular wrist stabilization
- Region in the model
- Upper limb