Main Article Content
Aims: To describe a rare pattern that may be confused with a fracture.
Study Design: Case Report.
Introduction: Bone anatomic variations may simulate fractures or may be a part of a syndrome. Recognition of these bony variants is important in order to avoid errors. We report a case of a congenital non-syndromic lunotriquetral coalition.
Presentation of Case: A 39-year-male was admitted in our institute with complaint of pain in right wrist since five days. There was no history of trauma prior to this complaint. Radiographs revealed a Minnaar type III lunotriquetral coalition. A symptomatic treatment was given, and the evolution of the patient was uneventful.
Conclusion: Clinicians should recognize this carpal coalition because it could be a part of syndromic manifestations or may be confused with a fracture. Treatment is usually symptom based.
Jerome JTJ. Congenital fusion of the trapezium and trapezoid. Romanian Journal of Morphology and Embryo-logy. 2008;49(3):417-419.
Singh P, Tuli A, Choudhry R, Mangal A. Intercarpal fusion-a review. Journal of Anatomical Society of India. 2003;52(2): 183-188.
Minnaar AD. Congenital fusion of the lunate and triquetral bones in the South African Bantu. Journal of Bone & Joint Surgery, British Volume. 1952;34(1):45-48.
Ozyurek S, Guler F, Canbora K, Kose O. Asymptomatic lunotriquetral coalition: An incidental radiographic finding. BMJ Case Reports; 2013;2013(Jul12 1): bcr2013009429-bcr2013009429.
Spaans A, Beumer A. Carpal coalitions; failures of differentiation of the carpus: A description of cases. Open Journal of Radiology. 2013;03(01):1-6.
DeFazio MV, Cousins BJ, Miversuski Jr RA, Cardoso R. Carpal coalition. Hand. 2013;8(2):157-163.
Lotter O, Stahl S, Luz O, et al. Bilateral paradoxically symptomatic luno-triquetral coalition: A case report. Eplasty. 2010; 10:e47.
Elzinga KE, Lien JR. Greater Arc perilunate injury through a lunotriquetral carpal coalition: A case report. JBJS Case Connect. 2018;8(4): e77.
Simmons BP, McKenzie WD. Symptomatic carpal coalition. J Hand Surg. 1985;15: 190-3.