SLAC/SNAC/CIND

Question 1

What are the stages of SLAC wrist?

Answer 1

Watson Stages:

1) radial styloid beaking
2) scaphoid fossa arthritis
3) capitolunate arthritis

Question 2

What ligament must be intact when considering a proximal dos carpectomy?

Answer 2

Radioscaphocapitate; proximal row carpectomy indicated for stage II SLAC wrist

Question 3

What treatment is indicated for stage III SLAC wrist?

Answer 3

Four corner fusion or wrist fusion

Question 4

Which joint is spared in SLAC wrist?

Answer 4

Radiolunate

Question 5

What is a sign of carpal instability non dissociative?

Answer 5

Sudden clunking with radial or ulnar deviation; CIND is defined as instability btw rows, either proximal and distal carpal rows or proximal row and radius

Question 6

What is the treatment for CIND?

Answer 6

Midcarpal fusion or radial osteotomy; if fails then wrist fusion