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Bilateral symptomatic os epilunatum: a case report.

Flavien Mauler1, Stefan Rahm1, Andreas Schweizer1

  • 1Department of Orthopaedics, Balgrist University Hospital, Zurich, Switzerland.

Journal of Wrist Surgery
|February 25, 2015
PubMed
Summary
This summary is machine-generated.

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Bilateral wrist pain was caused by symptomatic os epilunatum, a rare carpal anomaly. Surgical resection of the os epilunatum relieved pain, highlighting sonography

Area of Science:

  • Orthopedics
  • Radiology
  • Anatomy

Background:

  • Accessory carpal ossicles can cause atraumatic wrist pain.
  • These ossicles may be misdiagnosed as fractures after trauma.

Observation:

  • A patient presented with chronic, bilateral wrist pain without a history of trauma.
  • Sonographic examination revealed bilateral symptomatic os epilunatum.

Findings:

  • Surgical resection of the symptomatic os epilunatum resulted in complete pain relief.
  • Os epilunatum is a rare carpal anomaly, infrequently reported in literature.

Implications:

  • Sonography is effective for diagnosing os epilunatum.
  • Recommend intraoperative scapholunate ligament stability testing due to potential associated tears.
Keywords:
Os epilunatumaccessory ossiclecarpus

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