Brachymetacarpia

Case contributed by Carlos Felipe Hurtado Arias
Diagnosis certain

Presentation

Trauma to his right hand with a sharpshooter.

Patient Data

Age: 25 years
Gender: Male

Right hand

x-ray

The fifth metacarpal has a significantly smaller longitudinal diameter than the others. There are no osteolytic or osteoblastic areas or alterations in surfaces and joint congruence.

Linear radiopaque material, located in the soft tissue thickness of the paraungual region of the second finger, with no evidence of underlying bone injury.

It also identifies the fusion of some of the bones of the carpus (capitohamate coalition).

Case Discussion

Although alterations in bone length, whether of the metacarpals or metatarsals are commonly and classically associated with syndromic pathologies, there are cases, where such conditions do not concur in this context and are discovered incidentally.

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