Symptomatic pisiform hamate synchondrosis: A case report and review of the literature

Richterman, Ira E.; Kozin, Scott H.

doi:10.1016/s0363-5023(96)80129-8

Cited by 14 publications

(18 citation statements)

References 10 publications

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“…This may be as a result of the cartilaginous destruction that occurs secondary to intercarpal motion at the pseudoarthrosis. Type 1, with movement across an incomplete synostosis can cause degeneration of abnormally thin cartilage and therefore painful arthritis [12]. Types 2 -4 allow no motion and therefore tend to be symptomatic when associated with a fracture [6].…”

Section: Discussionmentioning

confidence: 99%

“…Multiple projections [12] are often required and care must be taken not to confuse true congenital coalitions with fusions secondary to acquired disease [14].…”

Section: Discussionmentioning

confidence: 99%

“…There was specific injury to that thumb but tenderness over the flexor pollicis brevis tendon was noted on ex- of the STT joint. Multiple projections [12] [13] are often required and care must be taken not to confuse true congenital coalitions with fusions secondary to acquired disease [14].…”

Section: Methodsmentioning

confidence: 99%

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Symptomatic Scaphotrapeziotrapezoid Carpal Coalition: The Natural History and a Surgical Option for Treatment

Sajjad¹,

Aerialis²,

Ashwood³

et al. 2017

OJO

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Carpal coalitions are uncommon and are frequently asymptomatic. 15 Patients with persistent symptomatic scaphotrapeziotrapezoid (STT) carpal coalitions unresponsive to six months of conservative treatment with no history of trauma went for further investigations. CT scans and bone scans revealed that coalition was the only abnormality to account for the patient's ongoing problems. The senior authors explored the carpal coalition surgically excising the affected region and interposing capsular fibrous tissue. Histologically partial bony and cartilaginous bridging was evident with no features of degenerative arthritis being noted. Good or excellent subjective results were achieved in all patients at final review an average of 2.7 (1.0 -4.2) years after surgery. All patients described significant reduction in visual analogue pain scores from an average of 71.5 to 18.4 points. The Green and O'Brien wrist scores improved from a mean of 58.2 to 94.2, with all patients returning to work with improved function. Normally carpal coalition is treated with arthrodesis or excision of part of the carpus. A further treatment option is outlined here with recreation of the joint space in symptomatic, isolated, nonsyndromic scaphotrapezio-trapezoidal coalition.

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Section: Discussionmentioning

confidence: 99%

“…Multiple projections [12] are often required and care must be taken not to confuse true congenital coalitions with fusions secondary to acquired disease [14].…”

Section: Discussionmentioning

confidence: 99%

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Symptomatic Scaphotrapeziotrapezoid Carpal Coalition: The Natural History and a Surgical Option for Treatment

Sajjad¹,

Aerialis²,

Ashwood³

et al. 2017

OJO

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“…This joint is hypothesized to coalesce due to ossification of the distal portion of the flexor carpi ulnaris or through metaplasia of the pisohamate ligament into bone resulting in synostotic fusion and not true coalition. 5,7,8,35,43,49 Unlike carpal coalitions, isolated metacarpal synostosis is thought to be due to a sporadic inheritance pattern causing failure of differentiation between adjacent metacarpals. 4,32,56 However, recent data suggest that genetic inheritance may play a larger role than previously thought.…”

Section: Embryologymentioning

confidence: 99%

“…Isolated coalitions without syndrome involvement have been described among the entire carpus and most often only involve 2 bones within the same row (see Figures 1a and 1b). 7,20,29,33,36,41,45,47,[49][50][51][58][59][60] In contrast, syndromic involvement often includes multiple bones in various patterns (see Figure 1c). …”

Section: Classification Systemsmentioning

confidence: 99%

Carpal Coalitions and Metacarpal Synostoses

Gottschalk

Danilevich

Gottschalk³

2016

Hand (New York, N,Y.)

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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.

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Hamate‐pisiform coalition: Morphology, clinical significance, and a simplified classification scheme for carpal coalition

Burnett

2010

Clinical Anatomy

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Hamate-pisiform coalition is characterized by the abnormal union of the pisiform bone and hamulus of the hamate. Because most reported cases are isolated, and literature on the subject is sparse, relatively little is known about this condition and its clinical significance. The purpose of this report is to discuss the occurrence, morphology, and frequency of hamate-pisiform coalition identified in a skeletal sample of native South Africans, and to conduct a metaanalysis of all known cases in order to clarify the sex distribution, laterality, form, and clinical significance of this condition. Five new cases (three male, two female) of hamate-pisiform coalition were identified in 527 native South Africans. Results indicate that hamate-pisiform coalition is infrequent (0.76%) but may be more likely encountered in individuals of African ancestry. Morphologically, non-osseous examples ranged in appearance from minor expressions involving pitting of an expanded hamulus base, to a variably pitted articulation between an elongated pisiform and hamulus. Osseous union between the two bones tends to extend beyond the hamulus base to adjacent areas of the hamate. Cases involving osseous union appear predisposed to fracture while ulnar neuropathy is significantly more frequent in individuals exhibiting non-osseous coalition. As both non-osseous and osseous cases can have clinical significance, awareness of the variable manifestations of this condition is necessary for hand specialists. A simplified classification system is suggested to more consistently characterize carpal coalitions.

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Symptomatic pisiform hamate synchondrosis: A case report and review of the literature

Cited by 14 publications

References 10 publications

Symptomatic Scaphotrapeziotrapezoid Carpal Coalition: The Natural History and a Surgical Option for Treatment

Symptomatic Scaphotrapeziotrapezoid Carpal Coalition: The Natural History and a Surgical Option for Treatment

Carpal Coalitions and Metacarpal Synostoses

Hamate‐pisiform coalition: Morphology, clinical significance, and a simplified classification scheme for carpal coalition

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