Home Body Atlas Ligaments Radioscapholunate Ligament
Ligament Hand & Wrist

Radioscapholunate Ligament

ligamentum radioscapholunatum

The radioscapholunate ligament (ligament of Testut-Kuentz) is an intrasynovial neurovascular structure passing from the anterior radius to the scapholunate junction, often described as a ligament but primarily functioning as a conduit for the vascular supply to the proximal scaphoid and lunate.

Region: Hand & Wrist
Biomechanics

Function & Actions

Transmits blood supply to the proximal scaphoid and lunate from the radial artery, provides a minor constraint at the RSL junction, and is preserved in dorsal wrist approaches to maintain scaphoid vascularity.

Clinical Relevance

Clinical Notes

The RSL ligament is identified during wrist arthroscopy as a soft tissue fold on the radial floor — its division in radiocarpal surgery may devascularise the proximal scaphoid. In Preiser disease (idiopathic proximal scaphoid AVN), RSL ligament vascular disruption has been proposed as a contributing mechanism.

Pathology

Common Injuries & Conditions

RSL Ligament in Proximal Scaphoid Blood Supply

The RSL ligament transmitting radial artery branches to the proximal scaphoid — its preservation in radiocarpal surgery is essential to avoid iatrogenic proximal scaphoid avascular necrosis.

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