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Published on: January 11, 2019
Bilateral Second Carpal Row Duplication Associated with Multiple Epiphyseal Dysplasia
Victoire Cladiere-Nassif1, Caroline Delaroche1, Edwige Pottier2
1Hôpital Saint-Antoine, Paris, France.
This case study describes a rare condition of bilateral second carpal row duplication, a previously undocumented wrist anomaly. The 75-year-old patient exhibited 18 carpal bones in each wrist, a significant finding in skeletal research.
Area of Science:
- Orthopedics and skeletal biology.
- Medical imaging and diagnostics.
- Genetics and rare diseases.
Background:
- The patient had a history of childhood diagnoses for Marfan syndrome and Ehlers-Danlos syndrome, though lacking definitive evidence or follow-up.
- She experienced lifelong articular symptoms suggestive of multiple epiphyseal dysplasia, necessitating knee and hip surgeries.
Observation:
- A 75-year-old woman presented with pain at the base of her left fifth metacarpal bone.
- Radiographic and computed tomography (CT) imaging revealed bilateral duplication of the second carpal bone row.
Findings:
- The patient presented with a unique, previously undescribed condition of bilateral second carpal row duplication.
- Each wrist contained a total of 18 carpal bones, a significant deviation from the typical anatomy.
Implications:
- This finding expands the known spectrum of carpal bone anomalies and congenital wrist conditions.
- Highlights the importance of thorough skeletal evaluation, even in patients with presumed connective tissue disorders.
- Provides a unique case for studying carpal development and potential genetic influences on skeletal morphology.
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