Fracture through previously asymptomatic lunotriquetral coalition: A case report

Abstract

Background: Carpal coalition referes to the fusion of two or more carpal bones in the wrist. This has a prevalence of 0.1 % in Caucasian populations, where lunotriquetral coalition is reported as the most common type. The incidence in Asian populations is not known. Most of lunotriquetral coaliations are asymptomatic and are incidently diagnosed, however, they can be the cause of wrist pain at times. Case report: We hereby present a case of 45 years old male with previously asymptomatic lunotriquetral coaliation with fracture through it post-injury. Classification, diagnostic methodology along with management of leunotriquetral coaliation and fracture have been discussed. Conclusion: Most of symptomatic patients with leunotriquetral coalition can be managed conservatively, however at times, symptomatology, instability or associated fractures may warrant for surgical procedures.

Keywords

• Leunotriquetral coalition
• Carpal coalition
• Congenital
• Ulnar side wrist pain