SNAC wrist Stage 3(Vender)

28 YEAR RT HAND MECHANICAL ENGINEER PRESENTED WITH PAIN 4 YEAR Rt WRIST WITH DIFFICULTY IN LIFTING OR GRIPPING HEAVY OBJECTS 

Dorsiflexion - 22 deg (R) / 40 deg (L)

Palmar flexion - 18 deg (R) / 70 deg (L)
Radial deviation - 15 deg (R) / 30 deg (L)
Ulnar deviation - 17 deg (R) / 40 deg (L)

GRIP STRENGTH (avg of 3 values)
(R) - 64.5 lbs
(L) - 72.4 lbs

 

Scopy confirmed severe radioscaphoud OA more on the 

 styloid and early lunatocapitate OA

Scaphoidectomy and 4 corner fusion was done and. At 3 months he has 50 percent reduction in palmar flexion more or less same grip strength and satisfaction of 6/10. Awaiting 6 month review for better function