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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

Thomas E. Trumble
1   Bellevue Hand Institute, Bellevue Bone and Joint Physicians, Bellevue, Washington
,
Gregory Rafijah
2   Department of Orthoapaedic Surgery, UC Irvine School of Medicine, Orange, California
,
Hayley Alexander
1   Bellevue Hand Institute, Bellevue Bone and Joint Physicians, Bellevue, Washington
,
Thanapong Waitayawinyu
3   Department of Orthopaedics, Thammasat University, Pathumthani, Thailand
› Author Affiliations
Further Information

Publication History

Publication Date:
19 December 2012 (online)

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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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