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Case Reports
. 2015 Nov;4(4):269-73.
doi: 10.1055/s-0035-1556861.

Bilateral Second Carpal Row Duplication Associated with Multiple Epiphyseal Dysplasia

Victoire Cladiere-Nassif  1 , Caroline Delaroche  1 , Edwige Pottier  2 , Jean-Marc Feron  1
Affiliations
Case Reports

Bilateral Second Carpal Row Duplication Associated with Multiple Epiphyseal Dysplasia

Victoire Cladiere-Nassif et al. J Wrist Surg. 2015 Nov.

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.

Keywords: capral malformation; carpal duplication; epiphyseal dysplasia.

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Conflict of interest statement

Conflict of Interest None

Figures

Fig. 1
Fig. 1
(a–d) Standard X-ray images of both wrists.
Fig. 2
Fig. 2
(a) Axial view at teh level of teh hamate's hook. (b) Axial view at the level of the base of M1. M1, first metacarpal; TZ, trapezium; TO, trapezoid; S, scaphoid; C, capitate; H, hamate; T, triquetrum; M4, fourth metacarpal; M5, fifth metacarpal.
Fig. 3
Fig. 3
(a,b) Standard X-ray images of knees (1980). The patient now has TKA.
Fig. 4
Fig. 4
Standard X-ray images of elbows. (a,b) Top. (c,d) Bottom.
Fig. 5
Fig. 5
X-ray and CT images of ankles and medial foot. (a,b) Top. (c,d) Bottom. C1, first cuneiform bone; C2, second cuneiform bone; C3, third cuneiform bone; M5, base of the fifth metatarsal bone; Cub, cuboid bone.
See this image and copyright information in PMC

References

    1. Senecail B, Perruez H, Colin D. Numerical variants and congenital fusions of carpal bones [in French] Morphologie. 2007;91(292):2–13. - PubMed
    1. Woerdeman L AE, Ritt M JPF, Meijer B, Maas M. Wrist problems in patients with Ehlers-Danlos syndrome. Eur J Plast Surg. 2000;23(4):208–210.
    1. Jeong C, Lee J Y, 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. - PMC - PubMed
    1. Panda A, Gamanagatti S, Jana M, Gupta A K. Skeletal dysplasias: A radiographic approach and review of common nonlethal skeletal dysplasias. World J Radiol. 2014;6(10):808–825. - PMC - PubMed
    1. Al-Qattan M M, Yang Y, Kozin S H. Embryology of the upper limb. J Hand Surg Am. 2009;34(7):1340–1350. - PubMed

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