eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity
Scapholunate Advanced Collapse: Multimedia
Updated: Sep 2, 2008
Multimedia
![]() | Media file 1: Stage 2 scapholunate advanced collapse (SLAC) wrist. |
![]() | Media file 2: Scapholunate advanced collapse (SLAC) wrist from Kienböck disease. |
![]() | Media file 3: Scapholunate advanced collapse (SLAC) wrist from nonunion of the scaphoid. The patient underwent 4-bone fusion. |
![]() | Media file 4: Scapholunate advanced collapse (SLAC) wrist from nonunion of the scaphoid. The patient underwent 4-bone fusion. |
![]() | Media file 5: Scapholunate advanced collapse (SLAC) wrist treated with total wrist fusion. |
![]() | Media file 6: Scapholunate advanced collapse (SLAC) wrist treated with total wrist fusion. |
![]() | Media file 7: Stage 2 scapholunate advanced collapse (SLAC) wrist treated with 4-bone fusion. |
![]() | Media file 8: Stage 2 scapholunate advanced collapse (SLAC) wrist treated with 4-bone fusion. |
More on Scapholunate Advanced Collapse |
| Overview: Scapholunate Advanced Collapse |
| Workup: Scapholunate Advanced Collapse |
| Treatment: Scapholunate Advanced Collapse |
| Follow-up: Scapholunate Advanced Collapse |
Multimedia: Scapholunate Advanced Collapse |
| References |
| Further Reading |
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References
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Sauerbier M, Bickert B, Trankle M, et al. [Surgical treatment possibilities of advanced carpal collapse (SNAC/SLAC wrist)]. Unfallchirurg. Jul 2000;103(7):564-71. [Medline].
Schmitt R, Heinze A, Fellner F, et al. Imaging and staging of avascular osteonecroses at the wrist and hand. Eur J Radiol. Sep 1997;25(2):92-103. [Medline].
Gong X, Lu LJ. What is the implication of scaphoid ring sign in advanced Kienböck's disease? Is it a sign of advanced carpal collapse or rotary scaphoid subluxation?. J Plast Reconstr Aesthet Surg. 2006;59(7):726-9. [Medline].
Bednar MS, Light TR. Degenerative arthritis. In: Russell RC, ed. Hand Surgery. Vol 4. St Louis, Mo: Mosby; 2000.
Watson HK, Ryu J. Evolution of arthritis of the wrist. Clin Orthop. Jan 1986;(202):57-67. [Medline].
Chen C, Chandnani VP, Kang HS, et al. Scapholunate advanced collapse: a common wrist abnormality in calcium pyrophosphate dihydrate crystal deposition disease. Radiology. Nov 1990;177(2):459-61. [Medline].
Taniguchi Y, Yoshida M, Tamaki T. X-ray characteristics of wrists in calcium pyrophosphate crystal deposition disease. Is pseudogout a major cause of scapholunate advanced collapse?. J Hand Surg [Br]. Oct 1997;22(5):659-61. [Medline].
Nagle DJ. Artroscopy. In: Russell RC, ed. Hand Surgery. Vol 4. St Louis, Mo: Mosby; 2000.
Fassler PR, Stern PJ, Kiefhaber TR. Asymptomatic SLAC wrist: does it exist?. J Hand Surg [Am]. Jul 1993;18(4):682-6. [Medline].
Pilný J, Kubes J, Hoza P, Sprláková A, Hart R. [Consequennce of nontreatment scapholunate instability of the wrist]. Rozhl Chir. Dec 2006;85(12):637-40. [Medline].
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Tomaino MM, Miller RJ, Cole I, Burton RI. Scapholunate advanced collapse wrist: proximal row carpectomy or limited wrist arthrodesis with scaphoid excision?. J Hand Surg [Am]. Jan 1994;19(1):134-42. [Medline].
Welby F, Alnot JY. [Resection of the first row of carpal bones: post-traumatic wrist and Kienbock''s disease]. Chir Main. Jun 2003;22(3):148-53. [Medline].
Vanhove W, De Vil J, Van Seymortier P, Boone B, Verdonk R. Proximal row carpectomy versus four-corner arthrodesis as a treatment for SLAC (scapholunate advanced collapse) wrist. J Hand Surg Eur Vol. Apr 2008;33(2):118-25. [Medline].
Dacho AK, Baumeister S, Germann G, Sauerbier M. Comparison of proximal row carpectomy and midcarpal arthrodesis for the treatment of scaphoid nonunion advanced collapse (SNAC-wrist) and scapholunate advanced collapse (SLAC-wrist) in stage II. J Plast Reconstr Aesthet Surg. Oct 19 2007;[Medline].
van Riet RP, Bain GI. Three-corner wrist fusion using memory staples. Tech Hand Up Extrem Surg. Dec 2006;10(4):259-64. [Medline].
Sauerbier M, Kania NM, Kluge S, et al. [Initial results of treatment with the new AO wrist joint arthrodesis plate]. Handchir Mikrochir Plast Chir. Jul 1999;31(4):260-5. [Medline].
Kalb K, Ludwig A, Tauscher A, et al. [Treatment outcome after surgical arthrodesis]. Handchir Mikrochir Plast Chir. Jul 1999;31(4):253-9. [Medline].
Ekelund L, Hagberg L, Hörberg L, Jörgsholm P, Gunnarsson M. Imaging of four-corner fusion (SLAC arthrodesis) of the wrist with 64-slice computed tomography. Acta Radiol. Feb 2007;48(1):76-9. [Medline].
Masmejean E, Dutour O, Touam C, Oberlin C. [Bilateral SLAC (scapholunate advanced collapse) wrist: an unusual entity. Apropos of a 7000-year-old prehistoric case]. Ann Chir Main Memb Super. 1997;16(3):207-14. [Medline].
Watson HK, Weinzweig J. Intercarpal arthrodesis. In: Green DP, Hotchkiss RN, Pederson WC, eds. Green's Operative Hand Surgery. Vol 1. Philadelphia, Pa: Churchill Livingstone; 1999.
Brown RE, Erdmann D. Complications of 50 consecutive limited wrist fusions by a single surgeon. Ann Plast Surg. Jul 1995;35(1):46-53. [Medline].
Krakauer JD, Bishop AT, Cooney WP. Surgical treatment of scapholunate advanced collapse. J Hand Surg [Am]. Sep 1994;19(5):751-9. [Medline].
Wyrick JD, Stern PJ, Kiefhaber TR. Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis. J Hand Surg [Am]. Nov 1995;20(6):965-70. [Medline].
Imbriglia JE, Broudy AS, Hagberg WC, McKernan D. Proximal row carpectomy: clinical evaluation. J Hand Surg [Am]. May 1990;15(3):426-30. [Medline].
Hastings H 2nd, Weiss AP, Quenzer D, et al. Arthrodesis of the wrist for post-traumatic disorders. J Bone Joint Surg Am. Jun 1996;78(6):897-902. [Medline].
Weiss AC, Wiedeman G Jr, Quenzer D, et al. Upper extremity function after wrist arthrodesis. J Hand Surg [Am]. Sep 1995;20(5):813-7. [Medline].
Dacho A, Grundel J, Holle G, Germann G, Sauerbier M. Long-term results of midcarpal arthrodesis in the treatment of scaphoid nonunion advanced collapse (SNAC-Wrist) and scapholunate advanced collapse (SLAC-Wrist). Ann Plast Surg. Feb 2006;56(2):139-44. [Medline].
Further Reading
Forearm, wrist, & hand (acute & chronic), not including carpal tunnel syndrome. Work Loss Data Institute. 2004 (revised 2007 May 16). 80 pages. [NGC Update Pending] NGC:005799
Chronic wrist pain.
American College of Radiology. 1998 (revised 2005). 7 pages. NGC:004619
Acute hand and wrist trauma.
American College of Radiology - Medical Specialty Society. 1998 (revised 2005). 8 pages. NGC:004607
Keywords
scapholunate advanced collapse, SLAC wrist, degenerative arthritis, scaphoid injury, scapholunate collapse, scapholunate dissociation, wrist pain, carpal tunnel syndrome, carpal ligament instability, scaphoid fracture, wrist arthritis, arthritis of the wrist, wrist arthrodesis, periscaphoid arthritis, scaphoid nonunion advanced collapse, SNAC, Terry Thomas sign, carpal bone, scaphoid, lunate, hand bone, os lunatum, os scaphoideum, perilunate fracture dislocations, perilunate injuries
















Multimedia: Scapholunate Advanced Collapse