An unusual carpal coalition associated with fifth ray anomalies in the hand

I report the case of a 15-year-old white girl with an asymptomatic scapholunotriquetral fusion associated with a capitometacarpal coalition in the right wrist. She had additional anomalies of the fifth ray including shortening and ulnar deviation of the fifth metacarpal, brachydactyly of the little finger, fusion of the fourth and fifth metacarpals and absence of the ulnar styloid.