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.

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The primary midcarpal arthrodesis had been indicated by a SLAC wrist in 17 patients and a SNAC in three cases, one after an intraarticular radius fracture and one resulting from a perilunate fracture dislocation.

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.

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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