{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:01:20Z","timestamp":1790420480934,"version":"4.1.0"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) are common patterns of wrist arthritis, and surgical treatment options include partial and total wrist arthrodesis and wrist denervation, which maintains the current anatomy while relieving pain.<\/jats:p><jats:p>\n          Introduction\u2003The purpose of this study is to elucidate current practices within the hand surgery community with respect to the use of anterior interosseous nerve\/posterior interosseous nerve (AIN\/PIN) denervation in the treatment of SLAC and SNAC wrists.<\/jats:p><jats:p>\n          Methods\u2003An anonymous survey was distributed to 3,915 orthopaedic surgeons via the American Society for Surgery of the Hand (ASSH) listserv. The survey collected information on conservative and operative management, indications, complications, diagnostic block, and coding of wrist denervation.<\/jats:p><jats:p>\n          Results\u2003In total, 298 answered the survey. 46.3% (N\u2009=\u2009138) of the respondents used denervation of AIN\/PIN for every SNAC stage, and 47.7% (N\u2009=\u2009142) of the respondents used denervation of AIN\/PIN for every SLAC wrist stage. AIN and PIN combined denervation was the most common standalone procedure (N\u2009=\u2009185, 62.1%). Surgeons were more likely to offer the procedure (N\u2009=\u2009133, 55.4%) if motion preservation had to be maximized (N\u2009=\u2009154, 64.4%). The majority of surgeons did not consider loss of proprioception (N\u2009=\u2009224, 84.2%) or diminished protective reflex (N\u2009=\u2009246, 92.1%) to be significant complications. 33.5%, 90 respondents reported never performing a diagnostic block prior to denervation.<\/jats:p><jats:p>\n          Conclusion\u2003Both SLAC and SNAC patterns of wrist arthritis can result in debilitating wrist pain. There is a wide range of treatment for different stages of disease. Further investigation is required to identify ideal candidates and evaluate long-term outcomes.<\/jats:p>","DOI":"10.1055\/s-0042-1756498","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T22:50:15Z","timestamp":1665183015000},"page":"280-286","source":"Crossref","is-referenced-by-count":5,"title":["Use of Wrist Denervation in the Treatment of SLAC and SNAC Wrist by ASSH Members"],"prefix":"10.1055","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7480-6830","authenticated-orcid":false,"given":"Nisha N.","family":"Kale","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jake","family":"Foote","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, MSUCHM Ascension Providence Hospital, Southfield, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2814-3543","authenticated-orcid":false,"given":"Gleb","family":"Medvedev","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"issue":"202","key":"ref1","first-page":"57","article-title":"Evolution of arthritis of the wrist","author":"H K Watson","year":"1986","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/j.jhsa.2005.12.012","article-title":"Long-term follow-up evaluation of denervation of the wrist","volume":"31","author":"A Schweizer","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/S0363-5023(84)80223-3","article-title":"The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis","volume":"9","author":"H K Watson","year":"1984","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/S0363-5023(87)80198-3","article-title":"Degenerative change in symptomatic scaphoid nonunion","volume":"12","author":"M I Vender","year":"1987","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.jhsa.2007.02.003","article-title":"Osteoarthritis of the wrist","volume":"32","author":"K E Weiss","year":"2007","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref6","first-page":"211","article-title":"Treatment options for scaphoid nonunion advanced collapse","volume":"122","author":"R Meier","year":"2019","journal-title":"Unfallchirurg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.otsr.2014.06.025","article-title":"Wrist osteoarthritis","volume":"101","author":"J Laulan","year":"2015","journal-title":"Orthop Traumatol Surg Res"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s12178-012-9149-4","article-title":"Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis","volume":"6","author":"C M Shah","year":"2013","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.hansur.2020.05.010","article-title":"Partial wrist denervation versus total wrist denervation: a systematic review of the literature","volume":"39","author":"F Smeraglia","year":"2020","journal-title":"Hand Surg Rehabil"},{"issue":"11","key":"ref10","doi-asserted-by":"crossref","first-page":"2995","DOI":"10.1007\/s10067-019-04645-8","article-title":"Patient satisfaction and outcomes of partial wrist denervation in inflammatory arthritis","volume":"38","author":"T S Peltz","year":"2019","journal-title":"Clin Rheumatol"},{"issue":"06","key":"ref11","first-page":"306","article-title":"Complete wrist denervation: a retrospective study of 27 cases with a mean follow-up period of 77 months","volume":"31","author":"E Simon","year":"2012","journal-title":"Chir Main"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1016\/j.jhsa.2011.01.018","article-title":"Scapholunate advanced collapse and scaphoid nonunion advanced collapse arthritis\u2014update on evaluation and treatment","volume":"36","author":"R J Strauch","year":"2011","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.hansur.2017.04.003","article-title":"Denervation of the wrist with two surgical incisions. 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