Subscribe to RSS
DOI: 10.1055/s-0043-1777112
Radiographic Evolution of Scaphotrapezium Coalition Trough Carpal Ossificaction
Article in several languages: español | EnglishAbstract
Carpal coalitions are anatomy variants, consisting of the union of two or more carpal bones. The incidence is low, usually being an incidental diagnosis. Describing the radiographic development through carpal ossification is our objective concerning a clinical case. Our patient is a 15-year-old male, who suffers repeated scaphoid fractures. He was diagnosed with bilateral non-osseous carpal coalitions in the follow-up. The patient had previous radiographs of his left wrist through infancy until skeletal maturation was observed. Thus, it was possible to compare them to reference images of normal skeletal maturation, showing the strongest differences after carpal ossification. Carpal coalitions are scarce, and the diagnosis is only possible after skeletal maturation, showing a higher risk of mechanical stress and present fractures than the general population.
Publication History
Received: 20 October 2022
Accepted: 09 October 2023
Article published online:
05 December 2023
© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Bibliography
- 1 Defazio MV, Cousins BJ, Miversuski Jr RA, Cardoso R. Carpal coalition: A review of current knowledge and report of a single institution's experience with asymptomatic intercarpal fusion. Hand (N Y) 2013; 8 (02) 157-163
- 2 Gottschalk MB, Danilevich M, Gottschalk HP. Carpal Coalitions and Metacarpal Synostoses: A Review. Hand (N Y) 2016; 11 (03) 271-277
- 3 van Hoorn BT, Pong T, van Leeuwen WF, Ring D. Carpal Coalitions on Radiographs: Prevalence and Association With Ordering Indication. J Hand Surg Am 2017; 42 (05) 329-334
- 4 Burnett SE. Hamate-pisiform coalition: morphology, clinical significance, and a simplified classification scheme for carpal coalition. Clin Anat 2011; 24 (02) 188-196
- 5 Vicente Gilsanz OR. Hand Bone Age - A Digital Atlas of Skeletal Maturity. Springer; 2005
- 6 Navarro M.M., Tejedor B.M., López Siguero J.P.. (2014, noviembre). El uso de la edad ósea en la práctica clínica. Anales de pediatria continuada 12 (06) 275-283 https://doi.org/10.1016/S1696-2818(14)70204-5
- 7 Resnik CS, Grizzard JD, Simmons BP, Yaghmai I. Incomplete carpal coalition. AJR Am J Roentgenol 1986; 147 (02) 301-304
- 8 Noureldin S, Ali M, Fallahi F, Dehler T. Scaphoid Fracture in a Patient with a Scaphotrapezial Synostosis: A Case Report and Literature Review. Case Rep Orthop 2017; 2017: 1941750