Early scapholunate advanced collapse treated with scaphoidectomy and four-corner fusion

Case contributed by Dr Henry Knipe

Presentation

Wrist pain.

Patient Data

Age: 65
Gender: Male

Early changes of SLAC wrist - widening of the scapholunate interval, and degenerative change at the radiocarpal articulation. Confirmed on MRI (not shown). 

Scaphoidectomy. Fusion of the lateral carpus. Lucency in the distal radius related to bone graft donor site. 

Case Discussion

One of the treatments for SLAC and SNAC wrists is scaphoidectomy and fusion of the lateral carpus with a circular plate with autologous bone graft from the distal radius (often from Lister's tubercle). 

PlayAdd to Share

Case information

rID: 30564
Case created: 19th Aug 2014
Last edited: 31st Aug 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.