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Carpal Coalition: Is It Really Rare and Incidental Finding?

Orhan Oyar , Atilla Hikmet Cilengir, Yusuf Kenan Cetinoglu, Muhsin Engin Uluc.

Abstract
Objectives: Carpal coalition (CC) defines the combined development of two or more carpal bones. The diagnosis is often made incidentally by the radiographs. Incidence of CC changes with ethnicity. CC may cause various symptoms because of the coalition type and the affected bones. We aim to analyze the incidence of CC, affected bones, define the symptoms and find out the correlation between CC, demographic factors and associated hand anomalies.
Methods: A total of 9457 hand and wrist AP radiographs were retrospectively analyzed. 9162 radiographs were included in the study. If a coalition was found, affected bones, patientís age and gender, clinical findings and concomitant hand abnormalities were recorded.
Results: 29 CC cases, including 16 female (55.2%) and 13 male (44.8%) patients were found. The CC incidence was %0.3. Mean age was 34.6 (range between 13-80). There were 25 (86.3%) lunotriquetral coalitions (LTC), 2 capitate-trapezoid coalitions (CTC) (6.9%), 1 (3.4%) hamate-pisiform coalition (HPC), and 1 (3.4%) trapezium-trapezoid coalition (TTC) in the study population. There was non-traumatic wrist pain in 8 (27.5%) cases, and there was limited wrist motion in 1 (3.5%) case. 7 of 8 non-traumatic wrist pain cases had LTC, and 1 of 8 had HPC. LTC was found in the case with limited wrist motion. There was bilateral CC in one patient and concomitant oligodactyly in another one.
Conclusion: CC is a rare and often asymptomatic developmental anomaly in our study which is performed with one of the most extensive series in the literature. LTC is the most frequent form. CC should be kept in mind in patients with wrist pain and limited wrist motion.

Key words: Carpal bones, Coalition, Radiography, Wrist joint


 
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How to Cite this Article
Pubmed Style

OO, Cilengir AH, Cetinoglu YK, Uluc ME, . Carpal Coalition: Is It Really Rare and Incidental Finding?. Hand Microsurg. 2019; 8(3): 133-138. doi:10.5455/handmicrosurg.51448


Web Style

OO, Cilengir AH, Cetinoglu YK, Uluc ME, . Carpal Coalition: Is It Really Rare and Incidental Finding?. http://handmicrosurgeryjournal.com/?mno=51448 [Access: February 21, 2020]. doi:10.5455/handmicrosurg.51448


AMA (American Medical Association) Style

OO, Cilengir AH, Cetinoglu YK, Uluc ME, . Carpal Coalition: Is It Really Rare and Incidental Finding?. Hand Microsurg. 2019; 8(3): 133-138. doi:10.5455/handmicrosurg.51448



Vancouver/ICMJE Style

OO, Cilengir AH, Cetinoglu YK, Uluc ME, . Carpal Coalition: Is It Really Rare and Incidental Finding?. Hand Microsurg. (2019), [cited February 21, 2020]; 8(3): 133-138. doi:10.5455/handmicrosurg.51448



Harvard Style

, O. O. ., Cilengir, A. H., Cetinoglu, Y. K., Uluc, M. E. & (2019) Carpal Coalition: Is It Really Rare and Incidental Finding?. Hand Microsurg, 8 (3), 133-138. doi:10.5455/handmicrosurg.51448



Turabian Style

, Orhan Oyar , Atilla Hikmet Cilengir, Yusuf Kenan Cetinoglu, Muhsin Engin Uluc, and . 2019. Carpal Coalition: Is It Really Rare and Incidental Finding?. Hand and Microsurgery, 8 (3), 133-138. doi:10.5455/handmicrosurg.51448



Chicago Style

, Orhan Oyar , Atilla Hikmet Cilengir, Yusuf Kenan Cetinoglu, Muhsin Engin Uluc, and . "Carpal Coalition: Is It Really Rare and Incidental Finding?." Hand and Microsurgery 8 (2019), 133-138. doi:10.5455/handmicrosurg.51448



MLA (The Modern Language Association) Style

, Orhan Oyar , Atilla Hikmet Cilengir, Yusuf Kenan Cetinoglu, Muhsin Engin Uluc, and . "Carpal Coalition: Is It Really Rare and Incidental Finding?." Hand and Microsurgery 8.3 (2019), 133-138. Print. doi:10.5455/handmicrosurg.51448



APA (American Psychological Association) Style

, O. O. ., Cilengir, A. H., Cetinoglu, Y. K., Uluc, M. E. & (2019) Carpal Coalition: Is It Really Rare and Incidental Finding?. Hand and Microsurgery, 8 (3), 133-138. doi:10.5455/handmicrosurg.51448








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