Sferopoulos Nikolaos K, Tsitouridis Ioannis
Departments of Orthopaedic Surgery, G. Gennimatas Hospital and Radiology, G. Papageorgiou Hospital, Thessaloniki, Greece.
Acta Orthop Belg. 2003 Aug;69(4):317-20.
Three cases in which congenital carpal fusion was associated with formation deficiencies of the hand are presented. In two patients with a lunate-triquetral and a capitate-hamate-trapezoid coalition, respectively, an ulnar deficient hand was also diagnosed. A subdivision of the first type of ulnar club hand deformities is proposed. Other skeletal anomalies included duplication of a phalanx and pseudoepiphysis of a metacarpal, respectively. In the latter case hypoplasia of the flexor tendons to the fingers, excluding the thumb, was also noted. In the third case, a proximal capitate-hamate coalition coexisted with aplasia of the flexor tendons to the middle finger.