SCAPHOLUNATE ADVANCED COLLAPSE

Course overview

SCAPHOLUNATE ADVANCED COLLAPSE (SLAC) IS A CHARACTERISTIC DEGENERATIVE CLINICAL WRIST CONDITION OF PROGRESSIVE DEFORMITY, INSTABILITY, AND ARTHRITIS THAT AFFECTS THE RADIOCARPAL AND MID-CARPAL JOINTS OF THE WRIST. CHARACTERISTICALLY, THE ARTHRITIC DEFORMITY AND PROGRESSIVE INSTABILITY OCCUR DUE TO A LONG-TERM, CHRONIC DISSOCIATION BETWEEN THE SCAPHOID CARPAL BONES AND THE LUNATE BONE. THIS CONDITION IS THE RESULT OF AN UNTREATED SCAPHOLUNATE INTEROSSEOUS LIGAMENT (SLIL) INJURY. PATIENTS WILL HAVE A HISTORY OF TRAUMA AND SOME DEGREE OF PAIN THAT IS MADE WORSE BY HEAVY USE. THE MILD DISEASE NEEDS ONLY NON-OPERATIVE TREATMENT SUCH AS NSAIDS, WRIST SPLINTS AND CORTICOSTEROID INJECTIONS WITH OPERATIVE MANAGEMENT INDICATED FOR MORE COMPLICATED CASES. THIS ACTIVITY ILLUSTRATES THE EVALUATION AND MANAGEMENT OF SCAPHOLUNATE ADVANCED COLLAPSE AND EXPLAINS THE ROLE OF THE INTERPROFESSIONAL TEAM IN IMPROVING CARE FOR PATIENTS WITH THIS CONDITION.