Discussion
Prompted my Mon Ami's thread, here's one a little similar although not as serious - I hope.
I crashed my mountain bike in June. Broke a couple of ribs and hurt my wrist, both hurty bits not too bad actually on the 16 mile ride home. Mind you, that involved 2 pubs, so some anaesthetic may have helped.
I was more concerned about the ribs hurting than my achy wrist and just ignored it TBH. Went on hols for a month in August, did 15k rides every day at least, wrist still niggling.
Finally navigated through the tortoise like system thats the NHS and saw a consultan the other day.
Apparently I have SLAC which scaphoid lignate advanced collapse.
He has advocated a partial fusion surgery which involves removing the scaphoid bone and screwing the four bones remaining together as my hand will eventually collapse. He was a really nice consultant, but as sometimes happens there was some difficulty explaining this to me due to him being a Malaysian chap.
So despite his best efforts, I'm not 100% sure I have this correct. He indicated that the removal of the scaphoid bone was so they could attach it to the four bones as detailed in the photo of my x ray. In the internet research I've done, all the sites seem to suggest the use of a dish shaped plastic anchor.
Anyone got any experience of this fix, healing time scales and temporary disability issues etc. Most importantly, will it smart for a bit afterwards, lol?
I crashed my mountain bike in June. Broke a couple of ribs and hurt my wrist, both hurty bits not too bad actually on the 16 mile ride home. Mind you, that involved 2 pubs, so some anaesthetic may have helped.
I was more concerned about the ribs hurting than my achy wrist and just ignored it TBH. Went on hols for a month in August, did 15k rides every day at least, wrist still niggling.
Finally navigated through the tortoise like system thats the NHS and saw a consultan the other day.
Apparently I have SLAC which scaphoid lignate advanced collapse.
He has advocated a partial fusion surgery which involves removing the scaphoid bone and screwing the four bones remaining together as my hand will eventually collapse. He was a really nice consultant, but as sometimes happens there was some difficulty explaining this to me due to him being a Malaysian chap.
So despite his best efforts, I'm not 100% sure I have this correct. He indicated that the removal of the scaphoid bone was so they could attach it to the four bones as detailed in the photo of my x ray. In the internet research I've done, all the sites seem to suggest the use of a dish shaped plastic anchor.
Anyone got any experience of this fix, healing time scales and temporary disability issues etc. Most importantly, will it smart for a bit afterwards, lol?
I'm a knee surgeon, not a wrist surgeon, but my training is quite general.
It sounds you have a "SLAC Wrist" Scapho-lunate advanced collapse
It sounds like he's suggesting a 4-corner fusion, which is quite accepted treatment for a bad case.
http://www.wheelessonline.com/ortho/scapholunate_a...
Sadly the link for 4-corner fusion half way down that one links to an incorrect page, but you could do a lot worse than reading this chap's page: http://www.jeremyfield.co.uk/fourcornerfusion.asp
A very fair and frank explaination of the operation and its extent.
And what you end up with is this: using the 4-corner fusion plate, known affectionately as The Hub-Cap.
That's the extent of my knowledge.
It sounds you have a "SLAC Wrist" Scapho-lunate advanced collapse
It sounds like he's suggesting a 4-corner fusion, which is quite accepted treatment for a bad case.
http://www.wheelessonline.com/ortho/scapholunate_a...
Sadly the link for 4-corner fusion half way down that one links to an incorrect page, but you could do a lot worse than reading this chap's page: http://www.jeremyfield.co.uk/fourcornerfusion.asp
A very fair and frank explaination of the operation and its extent.
And what you end up with is this: using the 4-corner fusion plate, known affectionately as The Hub-Cap.
That's the extent of my knowledge.
Ha, I could have done with you a few years ago when I detached my (Cruciate?) ligament from the front of my shin. I just thought I had dislocated my kneecap which was sitting some way up my thigh.
It is indeed SLAC I have. Apparently the ligament joining my scaphoid the adjacent bone has disapeared.
I see the 'hubcap', but my consultant chap seemed to be suggesting using my scaphoid bone instead of the hubcap to conduct a partial fusion rather than a full fusion.
It is indeed SLAC I have. Apparently the ligament joining my scaphoid the adjacent bone has disapeared.
I see the 'hubcap', but my consultant chap seemed to be suggesting using my scaphoid bone instead of the hubcap to conduct a partial fusion rather than a full fusion.
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