Ali Rabia, Khan Fahim, Saeed Sikandar, Javed Nismat
Miscellaneous, Shifa College of Medicine, Shifa Tameer-E-Millat University, Islamabad, PAK.
Orthopaedics and Traumatology, Shifa International Hospital, Islamabad, PAK.
Cureus. 2019 Sep 19;11(9):e5704. doi: 10.7759/cureus.5704.
Carpal coalition is the fusion of two or more carpal bones in the wrist. This has a prevalence of 0.1% in Caucasian populations, with lunotriquetral coalition being the most common type. The incidence in Asian populations, including Pakistan, is not known. Usually, these fused carpal bones are asymptomatic. However, they can be the cause of undiagnosed wrist pain. We present the case of a 26-year-old female who presented with right-sided wrist pain. On X-ray, she was diagnosed to have a lunotriquetral coalition. We emphasize the role of radiographic imaging in cases of carpal coalition. Most patients are treated conservatively. However, in severe cases, surgical treatments may be considered.
腕骨联合是指腕部两块或多块腕骨融合。在白种人群中,其患病率为0.1%,月三角骨联合是最常见的类型。包括巴基斯坦在内的亚洲人群中的发病率尚不清楚。通常,这些融合的腕骨没有症状。然而,它们可能是未被诊断出的腕部疼痛的原因。我们报告一例26岁女性,她因右侧腕部疼痛前来就诊。经X线检查,她被诊断为月三角骨联合。我们强调影像学检查在腕骨联合病例中的作用。大多数患者采用保守治疗。然而,在严重病例中,可能会考虑手术治疗。