J Wrist Surg 2015; 04(04): 269-273
DOI: 10.1055/s-0035-1556861
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Bilateral Second Carpal Row Duplication Associated with Multiple Epiphyseal Dysplasia

Victoire Cladiere-Nassif
1   Hôpital Saint-Antoine, Paris, France
,
Caroline Delaroche
1   Hôpital Saint-Antoine, Paris, France
,
Edwige Pottier
2   Service de Radiologie, Hopital Saint-Antoine, Paris, France
,
Jean-Marc Feron
1   Hôpital Saint-Antoine, Paris, France
› Author Affiliations
Further Information

Publication History

Publication Date:
29 October 2015 (online)

Abstract

We report a case of a 75-year-old woman presenting a hitherto undescribed condition of bilateral second carpal row duplication. She was diagnosed in childhood with both Marfan and Ehlers-Danlos syndromes, with no clear evidence and no further medical follow-up. She presented throughout her life with various articular symptoms, which appeared to be compatible with a diagnosis of multiple epiphyseal dysplasia, and underwent several surgical procedures on her knees and hips. Most recently, she was reporting pain at the base of the fifth metacarpal bone of the left hand. X-ray images and computed tomography (CT) were obtained for exploration and showed a total second row duplication in both carpi, with a total number of 18 carpal bones in each wrist.

 
  • References

  • 1 Senecail B, Perruez H, Colin D. Numerical variants and congenital fusions of carpal bones [in French]. Morphologie 2007; 91 (292) 2-13
  • 2 Woerdeman LAE, Ritt MJPF, Meijer B, Maas M. Wrist problems in patients with Ehlers-Danlos syndrome. Eur J Plast Surg 2000; 23 (4) 208-210
  • 3 Jeong C, Lee JY, Kim J , et al. Novel COL9A3 mutation in a family diagnosed with multiple epiphyseal dysplasia: a case report. BMC Musculoskelet Disord 2014; 15 (1) 371
  • 4 Panda A, Gamanagatti S, Jana M, Gupta AK. Skeletal dysplasias: A radiographic approach and review of common nonlethal skeletal dysplasias. World J Radiol 2014; 6 (10) 808-825
  • 5 Al-Qattan MM, Yang Y, Kozin SH. Embryology of the upper limb. J Hand Surg Am 2009; 34 (7) 1340-1350
  • 6 Oberg KC, Feenstra JM, Manske PR, Tonkin MA. Developmental biology and classification of congenital anomalies of the hand and upper extremity. J Hand Surg Am 2010; 35 (12) 2066-2076
  • 7 Watts AC, Hooper G. Congenital hand anomalies. Curr Orthop 2006; 20: 266-273
  • 8 Castriota-Scanderbeg A. Carpal abnormalities. In: Castriota-Scanderbeg A, Dallapiccola B, , eds. Abnormal Skeletal Phenotypes: From Simple Signs to Complex Diagnoses. Berlin, Germany: Springer-Verlag; 2005: 431-435