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User:Opmed2013/Scapholunate advanced collapse

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Scapholunate advanced collapse
Other namesSLAC wrist
AP wrist x-ray demonstrating scapholunate advanced collapse
AP wrist x-ray demonstrating scapholunate advanced collapse
SpecialtyOrthopedic surgery
Risk factorsWrist trauma
Diagnostic methodRadiographic
Differential diagnosisScaphoid fracture, distal radial fractures, avascular necrosis of the scaphoid, gout, pseudogout, rheumatoid arthritis, Kienbock disease, lunate fracture vs dislocation dorsal intercalated segmental instability
TreatmentNon-surgical (NSAIDs, wrist splint, steroid injection), surgical (radial styloidectomy, proximal row carpectomy, scaphoid excision and four-corner fusion, total wrist arthrodesis, wrist arthroplasty)

Scapholunate advanced collapse (also known as SLAC wrist) is a type of wrist osteoarthritis. SLAC wrist is the most common type of post-traumatic wrist osteoarthritis[1] and is often the result of an undiagnosed and/or untreated scapholunate ligament rupture.[2] The condition follows a predictable pattern of development, which was first described by H. Kirk Watson, M.D. and Frederick L. Ballet, M.D. in 1984.[3][4]

Epidemiology

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In their initial study, Watson and Ballet identified SLAC wrist as the most common form of wrist osteoarthritis, occurring in 57% of 210 patients with wrist osteoarthritis.[3] SLAC wrist is more common in males, manual laborers, young people, and patients with a history of wrist trauma.[5]

Diagnosis

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Scapholunate advanced collapse is a radiographic diagnosis. The Watson and Ballet classification identifies three stages of progressive wrist osteoarthritis that can be identified on a standard posterior-anterior (PA) wrist x-ray.

References

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  1. ^ França Bisneto, Edgard Novaes; Freitas, Maura Cristina; Leomil de Paula, Emygdio José; Mattar, Rames; Zumiotti, Arnaldo Valdir (2011-01). "Comparison between proximal row carpectomy and four-corner fusion for treating osteoarthrosis following carpal trauma: a prospective randomized study". Clinics. 66 (1): 51–55. doi:10.1590/S1807-59322011000100010. PMC 3044580. PMID 21437436. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  2. ^ Lane, Robert; Tafti, Dawood; Varacallo, Matthew (2024), "Scapholunate Advanced Collapse", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 30725809, retrieved 2024-03-04
  3. ^ a b McLean, Andrew; Taylor, Fraser (2018 Aug 29). "Classifications in Brief: Watson and Ballet Classification of Scapholunate Advanced Collapse Wrist Arthritis". Clinical Orthopaedics and Related Research. 477 (3): 663–666 – via PubMed. {{cite journal}}: Check date values in: |date= (help)
  4. ^ Watson, H. K.; Ballet, F. L. (1984-05). "The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis". The Journal of Hand Surgery. 9 (3): 358–365. doi:10.1016/s0363-5023(84)80223-3. ISSN 0363-5023. PMID 6725894. {{cite journal}}: Check date values in: |date= (help)
  5. ^ Murphy, Blake D.; Nagarajan, Mahalakshmi; Novak, Christine B.; Roy, Mélissa; McCabe, Steven J. (2020-01). "The Epidemiology of Scapholunate Advanced Collapse". HAND. 15 (1): 23–26. doi:10.1177/1558944718788672. ISSN 1558-9447. PMC 6966289. PMID 30003815. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)