Abstract
The scapholunate interosseous ligament (SLIL) plays a fundamental role
in stabilizing the wrist bones, and its disruption is a frequent cause
of wrist arthrosis and disfunction. Traditionally, this structure is
considered to be a variety of fibrocartilaginous tissue and consists of
three regions: dorsal, membranous and palmar. Despite its functional
relevance, the exact composition of the human SLIL is not well
understood. In the present work, we have analyzed the human SLIL and
control tissues from the human hand using an array of histological,
histochemical and immunohistochemical methods to characterize each
region of this structure. Results reveal that the SLIL is heterogeneous,
and each region can be subdivided in two zones that are histologically
different to the other zones. Analysis of collagen and elastic fibers,
collagens types I, III and IV, proteoglycans, glycoproteins and versican
confirmed that the different regions can be subdivided in two zones that
have their own structure and composition. The first part of the dorsal
region (zone D1) resembles the control tendons and ligaments, whereas
the rest of the SLIL are more similar to the control articular
cartilage, especially the first part of the membranous region (zone M1).
Cells showing a chondrocyte-like phenotype as determined by S100 were
more abundant in M1, whereas the zone containing more CD73-positive stem
cells was D2. These results confirm the heterogeneity of the human SLIL
and could contribute to explain why certain zones of this structure are
more prone to structural damage and why other zones have specific
regeneration potential.