Virtual Conference

Lucia Heras-Garcia

King’s College Hospital London, Dubai

Title: Carpal Instability: Importance of the SLIL, new treatments approach


SLIL account for 50% of injuries associated to fracture distal Radius, and 65% of sport related injuries
There are 4 types of carpal instabilities, subdivided in associative and non-associative.
We will explain what we call a Kinetic instability and a Kinematic instability
The role of the SLIL in those instabilities and the VI degrees of injuries we could face.
New view on 3 mechanical column arrangement.
Mechanism of injury, typical complains patients present with and how to diagnose them and examine the affected wrists.
Stages of scapholunate instabilities: Pre-dynamic, Dynamic, Static, Fixed static and SLAC.
Geissler Arthroscopic classification
Discussed what are the treatments available pass and present, surgical techniques and their expected results.


Lucia Heras-Garcia Qualified in Madrid (Universidad Complutense) in 1980. Trained in major University hospitals in Madrid and London. Specialized in Trauma and Orthopaedic Surgery in Spain, followed her main interested in Hand surgery and further her trainee in this specialty in Spain, London and Kentucky. She was the Lead Consultant of the Hand Unit which she developed for 13 years in London (Newham University Hospital), developing her Unit and training a large number of junior doctors, She has published a number of papers in hand pathology and trauma, and has been an invited speaker in numerous local, European and International Congresses, been also co-author of a book edited in Spain, where was invited to write some of the chapters. She is a member of the British Society for the Surgery of the Hand (BSSH), Spanish Society for Surgery of the Hand (SECMA), European Society for Surgery of the Hand (FSSH), British Orthopaedic Association (BOA), Spanish Society of Cosmetic Medicine and Surgery and British Medical Association (BMA). Always involved in teaching. She has been an invited visiting Professor in a number of Courses in Hand Surgery. She was a Faculty member in the 2 year Fellowship training program in Hand Surgery running in Gaza Strip for 6 years. Examiner for the GMC (PLAB) and for London University for 10 years. She has also worked for the GMC (General Medical Council) during 5 years as an Assessor for Fitness in Orthopaedics.