Scapholunate advanced collapse as a complication of a chronic scaphoid fracture
DOI:
https://doi.org/10.18203/2320-6012.ijrms20242959Keywords:
Collapse, Carpectomy, ScapholunateAbstract
Advanced scapholunate collapse (SLAC) is a common cause of wrist osteoarthritis. Watson HK and Ballet FL described SLAC injuries in 1984. They concluded that the incompetence of the scapholunate ligament led to a sequence of degenerative changes in the radio scaphoid junction in early stages and later in the Midcarpal joint, including a pan carpal injury. We describe the case of a male with an old scaphoid bone fracture and scapholunate collapse. Several treatment options are considered. However, the decision between performing a proximal carpectomy or total arthrodesis depends on several factors, including clinical evaluation and imaging studies. This clinical case, we performed a proximal carpectomy with favorable results at functional and aesthetic level.
References
Kale NN, Foote J, Medvedev G. Use of wrist denervation in the treatment of SLAC and SNAC wrist by ASSH members. J Wrist Surg. 2022;12(03):280-6.
Andronic O, Nagy L, Burkhard MD, Casari FA, Karczewski D, Kriechling P, et al. Long-term outcomes of the four-corner fusion of the wrist: A systematic review. World J Orthopedics. 2022;13(1):112-21.
Lane R, Tafti D, Varacallo M. Scapholunate advanced collapse. Stat Pearls. 2024.
Villeneuve Bargemon JB, Merlini L, Mathoulin C, Levadoux M. Arthroscopic radiocarpal tendinous inter-position for grade 2 scapholunate advanced collapse-surgical technique. J Hand Surg. 2022;27(05):889-94.
Maris S, Apergis E, Apostolopoulos A, Melissaridou D, Koulouvaris P, Papagelopoulos PJ, et al. Scapholunate advanced collapse (SLAC) and Scaphoid nonunion advanced collapse (SNAC): A review of treatment options for Stage II. Cureus. 2024;25:88-97.
Duraku LS, Hundepool CA, Hoogendam L, Selles RW, Heijden BEPA, Colaris JW, et al. Two-Corner fusion or Four-Corner fusion of the wrist for midcarpal osteoarthritis? A multicenter prospective comparative cohort study. Plastic Reconstructive Surgery. 2022;149(6):1130e-9e.
Artuso M, Protais M, Soubeyrand M. Arthroscopic proximal carpal row replacement by semitendinosus and gracilis graft (CArpus Row Plasty Using the Semitendinosus: CARPUS procedure). An anatomical study of 16 cases. Orthopaedics Traumatol Surg Res. 2022;108(7):103124.
Colman M, Kazzi WE, Salvia P, Feipel V, Schuind F. Three-Corner Arthrodesis (lunate-hamate-capitate) : clinical and kinematical evaluation. Acta Orthopaedica Belgica. 2020;86:62-72.
Roulet S, Nguyen MV, Cohen G, Sos C, Servasier L, Laulan J, et al. Total arthrodesis for non-rheumatoid wrists: Outcomes at 5 and 20 years of follow-up. Orthopaedics Traumatol Surg Res. 2023;109(3):103522
Aravinthan N, Siddiqui S, Khan M, Moro J, Pino PA, Prada C. Proximal row carpectomy with soft tissue interposition: a systematic review of clinical outcomes. Hand. 2024;9:84-92.
Vásquez M, Díaz J, Hernández E. Proximal carpectomy versus four-cornered arthrodesis in patients with lesions SLAC and SNAC. Mexican Orthopedic Act. 2019;33
Ahmadi AR, Duraku LS, Van Der Oest MJW, Hundepool CA, Selles RW, Zuidam JM. The never-ending battle between proximal row carpectomy and four corner arthrodesis: a systematic review and meta-analysis for the final verdict. J Plastic Reconstructive Aesthetic Surg. 2022;75(2):711-21.
