SLAC wrist

SLAC wrist

Orthopedics A wrist affected by scapholunate advanced collapse–SLAC, a common form of wrist osteoarthritis Imaging Loss of joint space, periarticular sclerosis, loose fragments, scapholunate disassociation and rotation of scaphoid and, with time, carpal collapse. See Wrist.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.
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However, bilateral scapholunate advanced collapse being the foremost etiology in our patient group, is not a new pathology, as findings of bilateral SLAC wrist on a prehistoric skeleton from Hassi-el-Abiod site in Malian Sahara provide paleopathological evidence of the existence of this disease 7,000 years ago.
Based on our experience with more than 900 cases, midcarpal arthrodesis with complete excision of the scaphoid appears to be a reliable method for managing wrist arthritis due to scapholunate dissociation (SLAC wrist) and scaphoid nonunion (SNAC).
(2.) Watson HK, Ballet FL: The SLAC wrist: Scapholunate advanced collapse pattern of degenerative arthritis.
(21.) Masmejean E, Dufour O, Touam C, et al: SLAC wrist bilateral: une entite a part.
Special aspects of wrist arthritis management for SLAC and SNAC wrists using midcarpal arthrodesis: results of bilateral operations and conversion to total arthrodesis

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