Learning objectives
Describe carpal coalition
Describe when carpal coalitions cause pain
Describe uncommon carpal coalitions presentations
Background
Carpal coalitions are relatively common anatomical variants present in approximately 0.1% of the population and are characterized by the union osseous (synostosis) and non- osseous of two or more carpal bones.
Carpal coalition may represent a congenital or an acquired anomaly seen in healthy individuals,
may present independently or in association with syndromic or metabolic disorders.Intercarpal fusion is genetically transmissible (non-sex linked,
Mandelian dominant pattern of inheritance).
Among the syndromes most related to our clinical cases is symphalangism which consists of the ankylosis of the...
Findings and procedure details
Retrospective analysis of medical and radiographic and CT records was conducted on all patients with identified carpal coalitions and wrist pain,evaluation of carpal alignment was performed.
Patients presented to the Hospital Pablo Tobon Uribe with histories or injuries that warranted radiographic evaluation of the wrist or hand.
In some circumstances,
follow - up images were obtained in patients who sustained oprevious injuries in order to monitor healing,
confirm the proper position of pins,
screws,
plates and other hardware devices used to treat these injuries; or...
Conclusion
Carpal coalitions are incidental findings on wrist and hand radiographs that should correctly interprete and verify If it is a cause of pain or not.
More studies are needed because it is an infrequent subject and many radiologists do not make an adequate description in the informs.
These incidental findings should be adequately characterized and the information derived from these studies could generate improvements in the management of patients who present with pain and they have congenital or acquired carpal coalition.
References
Carpal Coalitions on Radiographs: Prevalence and Association With Ordering Indication.
Bastiaan T.
van Hoorn.
Department of Orthopaedic Surgery,
Hand and Upper Extremity Service,
Massachusetts General Hospital,
Harvard Medical School,
Boston.
J Hand Surg Am.
2017.
Síndrome Facio -audio - sinfalangismo: Reporte de un caso y revisión de la literatura.
Genética.
Alejandro Marín Medina,
Luis Eduardo Figuera Villanueva**Revista medica de Costa Rica y Centroamerica LXXI (616) 611 - 616,
2015
Coalición carpal bilateral.
Reporte de un caso.
Jaim Atri Levy,
Luis Ochoa Olvera,
Ana María Serrano...