TFCC tear and lunotriquetral coalition

Case contributed by Ali Alsmair
Diagnosis certain

Presentation

Wrist pain after trauma

Patient Data

Age: 40 years
Gender: Male
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Info

Frontal X-ray of the left wrist shows complete fusion between the lunate and triquetrum.

No fractures.

This study is a stack
Coronal
T1
This study is a stack
Coronal
STIR
This study is a stack
Coronal PD
fat sat
This study is a stack
Axial
T1
This study is a stack
Coronal T2
fat sat
This study is a stack
Axial T2
fat sat
This study is a stack
Axial
T2
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Info

Coronal T1 MRI sequence shows complete fusion between the lunate and triquetral bones, consistent with the lunotriquetral coalition.

Associated TFCC tear at its ulnar insertion is noted (PALMER IB) and distal radioulnar joint effusion are noted.

Chondromalacia of the medial aspect of the lunate and the pisiform is noted.

Case Discussion

Lunotriquetral coalition is the most common type of carpal coalition and represents a congenital fusion of the lunate and triquetral bones of the carpus.

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