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Multiple carpal coalitions

Case contributed by Aidi Aswadi Bin Halim Lim
Diagnosis certain

Presentation

No known medical illness. Complaining of chronic unilateral wrist pain.

Patient Data

Age: 20 years
Gender: Female
x-ray

No clear separation can be seen between:

  • Hamate and capitate
  • Trapezium and trapezoid
  • Pisiform and triquetrum

Case Discussion

Carpal coalitions are typically asymptomatic but can rarely result in wrist pain. Syndromic-associated fusions are quite often multiple in nature1, although in our case no definite syndrome has been diagnosed.

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