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Scapholunate Advanced Collapse: Motion-Sparing Reconstructive Options.

Kevin Kruse1, John R Fowler1

  • 1Department of Orthopaedics, University of Pittsburgh, Suite 1010, Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA.

The Orthopedic Clinics of North America
|November 29, 2015
PubMed
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Scapholunate advanced collapse (SLAC) is wrist arthritis caused by ligament damage. This review examines motion-sparing surgeries for SLAC wrist, analyzing their outcomes.

Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Degenerative Arthritis Research

Background:

  • Scapholunate dissociation can lead to a predictable pattern of wrist arthritis known as Scapholunate advanced collapse (SLAC).
  • SLAC wrist represents a significant cause of wrist pain and dysfunction.

Purpose of the Study:

  • To review and synthesize the existing literature on motion-sparing surgical treatments for SLAC wrist.
  • To evaluate the outcomes associated with various surgical interventions aimed at preserving wrist motion in SLAC patients.

Main Methods:

  • Systematic literature search for studies reporting on surgical management of SLAC wrist.
  • Analysis of patient outcomes, including pain relief, range of motion, and functional recovery.
  • Comparison of different motion-sparing surgical techniques.
Keywords:
Four-corner arthrodesisMotion-sparing surgical treatmentProximal row carpectomyScapholunate advanced collapseWrist denervation

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Main Results:

  • Various motion-sparing procedures demonstrate potential for pain relief and functional improvement in SLAC wrist.
  • Outcomes can vary depending on the specific technique and patient factors.
  • Long-term data on some motion-sparing techniques is still evolving.

Conclusions:

  • Motion-sparing surgery is a viable option for managing SLAC wrist, offering alternatives to fusion or replacement.
  • Further research is needed to establish definitive best practices and long-term efficacy for specific procedures.
  • Individualized treatment approaches are crucial for optimizing outcomes in SLAC wrist management.