Scapholunate advanced collapse of the wrist: a review

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Abstract

Background. Scapholunate advanced collapse (SLAC) is a common type of the wrist osteoarthritis. It is characterized by progressive deformity, instability and arthritis due to chronic dissociation of the scaphoid and lunate bones with chronic scapholunate interosseous ligament (SLIL) injuries. Quite often, in this pathology, it is difficult to alleviate the pain syndrome and preserve the range of motion.

The aim of the review — based on the modern literature data, to analyse the concept and pathogenesis of scapholunate advanced collapse, current methods of radiological diagnosis and treatment modalities of the pathology.

Methods. The search was performed in eLIBRARY and PubMed databases using the following keywords: scapholunate advanced collapse, SLAC, scapholunate instability, proximal row carpectomy. We selected 86 original articles and reviews out of 110 papers found. The selected ones reveal the issues of pathogenesis, radiological diagnosis and treatment of the pathology.

Results. Scapholunate carpal collapse is secondary arthritis of the carpal bones resulting from rupture of the SLIL, which can be traumatic or non-traumatic. Conservative methods of the SLAC treatment can be used in the early stage of arthritis, but there is no data on their effectiveness in the world literature. Surgical treatment methods are varied, the choice depends on the clinical stage of the disease.

Conclusions. The efficiency of conservative treatment modalities of the SLAC syndrome has not been proved yet. There is a plenty of surgical treatment methods and their modifications developed to alleviate the pain syndrome and preserve the motion and strength of the wrist grip as far as it is possible. However, the choice of the treatment method depending on the clinical stage of the disease is still problematic. For young active patients especially important is the development of adjuvant techniques aimed to increase the treatment efficiency. To date, there is accumulating evidence of successful use of pyrocarbon implants and arthroscopy techniques in the wrist surgery.

About the authors

Nathalia A. Shchudlo

National Ilizarov Medical Research Centre for Traumatology and Orthopedics

Email: nshchudlo@mail.ru
ORCID iD: 0000-0001-9914-8563

Dr. Sci. (Med.)

Russian Federation, Kurgan

Shyngys K. Kuttygul

National Ilizarov Medical Research Centre for Traumatology and Orthopedics

Author for correspondence.
Email: artana.kaz@gmail.com
ORCID iD: 0009-0009-1072-468X
Russian Federation, Kurgan

Artem R. Mironov

Vreden National Medical Research Center of Traumatology and Orthopedics

Email: ortopedix@yandex.ru
ORCID iD: 0009-0001-9273-8680
SPIN-code: 9915-1012
Russian Federation, St. Petersburg

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2. Figure 1. X-ray fragments of patients´ wrists with various SLAC stages in the AP view

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3. Figure 2. X-ray fragment of a patient with SLAC stage II wrist on the 1st day after proximal row carpectomy

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4. Figure 3. X-ray fragment of a patient with SLAC stage III wrist on the 1st day after trapeziometacarpal arthrodesis with the scaphoid bone excision

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Согласие на обработку персональных данных с помощью сервиса «Яндекс.Метрика»

1. Я (далее – «Пользователь» или «Субъект персональных данных»), осуществляя использование сайта https://journals.rcsi.science/ (далее – «Сайт»), подтверждая свою полную дееспособность даю согласие на обработку персональных данных с использованием средств автоматизации Оператору - федеральному государственному бюджетному учреждению «Российский центр научной информации» (РЦНИ), далее – «Оператор», расположенному по адресу: 119991, г. Москва, Ленинский просп., д.32А, со следующими условиями.

2. Категории обрабатываемых данных: файлы «cookies» (куки-файлы). Файлы «cookie» – это небольшой текстовый файл, который веб-сервер может хранить в браузере Пользователя. Данные файлы веб-сервер загружает на устройство Пользователя при посещении им Сайта. При каждом следующем посещении Пользователем Сайта «cookie» файлы отправляются на Сайт Оператора. Данные файлы позволяют Сайту распознавать устройство Пользователя. Содержимое такого файла может как относиться, так и не относиться к персональным данным, в зависимости от того, содержит ли такой файл персональные данные или содержит обезличенные технические данные.

3. Цель обработки персональных данных: анализ пользовательской активности с помощью сервиса «Яндекс.Метрика».

4. Категории субъектов персональных данных: все Пользователи Сайта, которые дали согласие на обработку файлов «cookie».

5. Способы обработки: сбор, запись, систематизация, накопление, хранение, уточнение (обновление, изменение), извлечение, использование, передача (доступ, предоставление), блокирование, удаление, уничтожение персональных данных.

6. Срок обработки и хранения: до получения от Субъекта персональных данных требования о прекращении обработки/отзыва согласия.

7. Способ отзыва: заявление об отзыве в письменном виде путём его направления на адрес электронной почты Оператора: info@rcsi.science или путем письменного обращения по юридическому адресу: 119991, г. Москва, Ленинский просп., д.32А

8. Субъект персональных данных вправе запретить своему оборудованию прием этих данных или ограничить прием этих данных. При отказе от получения таких данных или при ограничении приема данных некоторые функции Сайта могут работать некорректно. Субъект персональных данных обязуется сам настроить свое оборудование таким способом, чтобы оно обеспечивало адекватный его желаниям режим работы и уровень защиты данных файлов «cookie», Оператор не предоставляет технологических и правовых консультаций на темы подобного характера.

9. Порядок уничтожения персональных данных при достижении цели их обработки или при наступлении иных законных оснований определяется Оператором в соответствии с законодательством Российской Федерации.

10. Я согласен/согласна квалифицировать в качестве своей простой электронной подписи под настоящим Согласием и под Политикой обработки персональных данных выполнение мною следующего действия на сайте: https://journals.rcsi.science/ нажатие мною на интерфейсе с текстом: «Сайт использует сервис «Яндекс.Метрика» (который использует файлы «cookie») на элемент с текстом «Принять и продолжить».