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Carpal fusion

Jalal Jalal Shokouhi-MD, ISRKimia Kahrizi-MD, Prof. of medical geneticsMohammad hossein Herischi-MD,PhD-Baku, Republic AzerbaijanShahyar Pashaei-PhD, Boniad daneshname negari, IranAliakbar Ameri-MD, Jaam e jam

j a l a l j a l a l s h o k o uh i@ho tma i l . c om

www.medimage. i r

1. Hereditary2. Non-hereditary

Causes:

Carpal fusion is hereditary and nonhereditary conditions in acrocallosal syndrome, acromegaly, apert, arthrograyposis, carpenter syndrome, chromosal abnormalities, EEC syndrome, F syndrome, fetal alcohol syndrome, holt oram S. leopard S., multiple synostosis S., oligosyndactyly S., Pfeiffer-likes, scleroderma, split hand and foot, stickler S., thalidomide embryopathy, turner syndrome and many other conditions (taybi syndrome book).Sometimes there is no known causative disease

Technic = X-ray

Hand bone anomalies are more common in syndromes or other congenital or non-hereditary conditions but polydactyly, syndactyly or oligodactyly and carpal fusions are interesting.X-ray is the modality of choice but MRI and X-ray CT with multiplanar reconstructions can be use for diagnosis.

Short second phalanx of fifth finger

Short second phalanx of fifth fingerRight hand with three metacarpal and phalanx, fused carpal bones

Fused right carpal bones capitate and hamate

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