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Updated: Mar 14, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Carpal Coalitions and Metacarpal Synostoses: A Review
Michael B Gottschalk1, Maxim Danilevich2, Hilton P Gottschalk3
1Emory School of Medicine, Department of Orthopaedics, Atlanta, GA, USA.
Abstract:
Background: Carpal coalition and metacarpal synostosis are uncommon congenital anomalies of the carpus and hand. Methods: A comprehensive review of the literature was performed to help guide surgical and non-surgical treatment of carpal coalition and metacarpal synostosis. Results: The embryology, epidemiology, medical and surgical management, and associated outcomes are detailed. Conclusions: Most patients with these disorders will likely benefit from conservative measures. Surgery should be considered in patients with pain and limitations in wrist and hand function.
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