Arthroscopic Treatment of Symptomatic Congenital Lunotriquetral Coalition

Thomas Apard; Benoit Mariotte; Gilles Candelier

doi:10.1055/s-0038-1627444

Journal of Wrist Surgery, Table of Contents

J Wrist Surg 2018; 07(04): 341-343
DOI: 10.1055/s-0038-1627444

Case Report

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Arthroscopic Treatment of Symptomatic Congenital Lunotriquetral Coalition

Thomas Apard

¹Center of Hand Surgery, Private Hospital of Saint Martin, Caen, France

,

Benoit Mariotte

²Department of Radiology, Private Hospital of Saint Martin, Caen, France

,

Gilles Candelier

¹Center of Hand Surgery, Private Hospital of Saint Martin, Caen, France

› Author Affiliations

Abstract

Symptomatic lunotriquetral coalition is very rare and need open surgery after failure of conservative treatment. We report a case of a symptomatic congenital lunotriquetral coalition type 1 according to the Minaar classification, at the left wrist of a 14-year-old boy. We performed an arthroscopic treatment with two compression screws and without cancellous bone grafting. Healing was obtained at 2 months postoperatively.

Keywords

lunotriquetral - coalition - arthroscopy - surgery - wrist

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References

References
1 Gottschalk MB, Danilevich M, Gottschalk HP. Carpal coalitions and metacarpal synostoses: a review. Hand (NY) 2016; 11 (03) 271-277
2 Devilliers Minnaar AB. Congenital fusion of the lunate and triquetral bones in the South African Bantu. J Bone Joint Surg Br 1952; 34-B (01) 45-48
3 Tordjman D, Barry MK, Hinds RM, Yang SS. Surgical treatment of symptomatic congenital type I lunotriquetral coalition: technique and a report of 4 cases. Tech Hand Up Extrem Surg 2016; 20 (04) 141-146
4 Ritt MJ, Maas M, Bos KE. Minnaar type 1 symptomatic lunotriquetral coalition: a report of nine patients. J Hand Surg Am 2001; 26 (02) 261-270
5 Gross SC, Watson HK, Strickland JW, Palmer AK, Brenner LH, Fatti J. Triquetral-lunate arthritis secondary to synostosis. J Hand Surg Am 1989; 14 (01) 95-102
6 Lotter O, Amr A, Stahl S. , et al. Pseudarthrosis after disruption of an incomplete luno-triquetral coalition: a case report. Ger Med Sci 2010; 8: Doc34
7 van Schoonhoven J, Prommersberger KJ, Schmitt R. Traumatic disruption of a fibrocartilage lunate-triquetral coalition--a case report and review of the literature. Hand Surg 2001; 6 (01) 103-108
8 Simmons BP, McKenzie WD. Symptomatic carpal coalition. J Hand Surg Am 1985; 10 (02) 190-193
9 del Piñal F, Klausmeyer M, Thams C, Moraleda E, Galindo C. Early experience with (dry) arthroscopic 4-corner arthrodesis: from a 4-hour operation to a tourniquet time. J Hand Surg Am 2012; 37 (11) 2389-2399