Department of Medical Imaging, University Hospital, Voutes, 71110 Heraklion, Greece.
Department of Radiology, Medical School University of Crete, Voutes, 70013 Heraklion, Greece.
Tomography. 2021 Sep 23;7(4):488-503. doi: 10.3390/tomography7040042.
Wrist osteoarthritis (OA) is a common painful condition that affects the patient's quality of life by limiting the range of wrist motion and grip strength. Wrist OA often results from scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC). Early diagnosis of SLAC and SNAC is crucial because it affects treatment planning. Thus, radiologists should be able to interpret the early imaging findings. This pictorial review discusses the pathophysiology and the clinical symptoms of SLAC and SNAC and presents the imaging findings with emphasis on the proper imaging algorithm. Finally, it focuses on the treatment according to the degenerative status of each of these patterns.
腕骨关节炎(OA)是一种常见的疼痛病症,它会限制腕关节活动范围和握力,从而降低患者的生活质量。腕骨 OA 通常是由舟月骨进行性塌陷(SLAC)或舟骨骨不连性进行性塌陷(SNAC)引起的。早期诊断 SLAC 和 SNAC 至关重要,因为它会影响治疗计划。因此,放射科医生应该能够解读早期的影像学发现。本影像学综述讨论了 SLAC 和 SNAC 的病理生理学和临床症状,并介绍了影像学表现,重点介绍了适当的影像学算法。最后,根据这些模式的退行性状态,讨论了相应的治疗方法。