Os centrale carpi

Case contributed by Dr Magdalena Chmiel-Nowak

Presentation

Vague pain in the wrist. No history of trauma

Patient Data

Age: 30 years
Gender: Female
MRI

A well-corticated, oblong osseous structure is visible in the dorsal wrist, between the scaphoid, the trapezoid and the capitate bones, consistent with an accessory ossicle - os centrale carpi. Some degenerative changes are visible in its most anterior part, adjacent to the scaphoid; apart from that no visible abnormalities of the ossicle, no bone marrow edema. Normal shape of the scaphoid.

Annotated image

Annotated images of the os centrale carpi.

Case Discussion

Os centrale carpi is an uncommon accessory ossicle of the wrist. It is usually asymptomatic, but sometimes it causes pain or clicking. In this case, most likely it was an incidental finding, as the site of the patient's pain didn't match the ossicle location. 

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Case information

rID: 74729
Published: 7th Apr 2020
Last edited: 8th Apr 2020
Inclusion in quiz mode: Included

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