Scaphoidectomy and Capsulodesis for SNAC or SLAC Stage II

Thomas E. Trumble; Gregory Rafijah; Hayley Alexander; Thanapong Waitayawinyu

doi:10.1055/s-0032-1329615

Journal of Wrist Surgery, Table of Contents

J Wrist Surg 2012; 01(02): 129-134
DOI: 10.1055/s-0032-1329615

Special Focus Section: Motion Preserving Procedures of the Wrist

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Scaphoidectomy and Capsulodesis for SNAC or SLAC Stage II

Authors

Thomas E. Trumble

¹Bellevue Hand Institute, Bellevue Bone and Joint Physicians, Bellevue, Washington
Gregory Rafijah

²Department of Orthoapaedic Surgery, UC Irvine School of Medicine, Orange, California
Hayley Alexander

¹Bellevue Hand Institute, Bellevue Bone and Joint Physicians, Bellevue, Washington
Thanapong Waitayawinyu

³Department of Orthopaedics, Thammasat University, Pathumthani, Thailand

Abstract

Two common types of wrist arthritis are scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC). In stage II SLAC or SNAC, there is arthritis between the scaphoid and the radius, sparing the cartilage between the capitate and the lunate and between the lunate and the radius. When nonsurgical treatment failed, scaphoidectomy plus capsulorrhaphy was used in 8 patients to provide pain relief without requiring an arthrodesis or compromising the radiolunate articulation. After surgery the pain scores improved from 8.5 preoperatively to 2.4 postoperatively. The Disabilities of the Arm, Shoulder, and Hand (DASH) score averaged 21, and the grip strength improved from 18 to 28 kg (81% of the contralateral side).

Keywords

scapholunate advanced collapse (SLAC) arthritis - scaphoid nonunion advanced collapse (SNAC) arthritis - wrist arthritis - scaphoid nonunion - capsulorrhaphy

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References

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