SLAC and SNAC Wrist for Orthopaedic Fellowship Examination

Description

This session, hosted by Kashif, focuses on the examination and treatment of SLAC (Scapholunate Advanced Collapse) and SNAC (Scaphoid Nonunion Advanced Collapse) lesions in the wrist. The discussion begins with an introduction to the characteristics and common presentations of these conditions, primarily highlighting the radial-sided wrist pain often seen in patients with a history of trauma. Kashif presents a detailed overview of the conditions, explaining the significance of the scapholunate ligament and the typical progression of arthritis due to SLAC and SNAC.



Throughout the session, the presentation moves into diagnostic methods, including detailed patient history and physical examination techniques, emphasizing the need for radiographs to categorize the disease stages. Radiographic findings are discussed, focusing on the stages of arthritis, and how certain treatments can start with conservative options such as immobilization or steroid injections, moving to surgical options only as necessary.



Further discussion includes differential diagnoses, patient management strategies, and the impact of patient's activity levels on treatment choices. The session rounds up with insights from various attendees, highlighting the complexity of treatment in younger patients and the importance of thorough management plans, including potential surgical interventions for those who maintain a work-heavy lifestyle. Questions from participants guide the conversation and delve deeper into surgical options, emphasizing the importance of patient-specific decision-making in the management of wrist lesions.

Specialties