Michael B Gottschalk1, Maxim Danilevich2, Hilton P Gottschalk3. 1. Emory School of Medicine, Department of Orthopaedics, Atlanta, GA, USA. 2. University of Texas Medical Branch School of Medicine, Galveston, USA. 3. Dell Children's Medical Center, Austin, TX, USA; Central Texas Pediatric Orthopedics, Austin, TX, USA.
Abstract
Background: Carpal coalition and metacarpal synostosis are uncommon congenital anomalies of the carpus and hand. Methods: A comprehensive review of the literature was performed to help guide surgical and non-surgical treatment of carpal coalition and metacarpal synostosis. Results: The embryology, epidemiology, medical and surgical management, and associated outcomes are detailed. Conclusions: Most patients with these disorders will likely benefit from conservative measures. Surgery should be considered in patients with pain and limitations in wrist and hand function.
Background: Carpal coalition and metacarpal synostosis are uncommon congenital anomalies of the carpus and hand. Methods: A comprehensive review of the literature was performed to help guide surgical and non-surgical treatment of carpal coalition and metacarpal synostosis. Results: The embryology, epidemiology, medical and surgical management, and associated outcomes are detailed. Conclusions: Most patients with these disorders will likely benefit from conservative measures. Surgery should be considered in patients with pain and limitations in wrist and hand function.
Entities:
Keywords:
carpal coalition; congenital; hand coalitions; lunotriquetral coalition; synostosis