title: Surgical Treatment of Symptomatic Congenital Type I Lunotriquetral Coalition: Technique and a Report of 4 Cases.
abstract: Lunotriquetral (LT) synchondrosis is an uncommon variant of congenital LT coalition. Unlike complete LT fusions, this incomplete pseudoarthrosis-like coalition can become symptomatic. Surgical LT arthrodesis is a described treatment for this variant of LT coalition (Minnaar type I). We report 4 patients who underwent LT fusion with a second-generation headless compression screw and distal radius cancellous autograft. Fusion was achieved in all cases at an average of 2.5 months postoperatively. All the patients were satisfied with complete pain relief in 2 patients and minimal pain in 2 patients, and all improved their range of motion. We recommend this procedure, and report the techniques for this limited wrist arthrodesis as treatment for the symptomatic LT synchondrosis.
authors.affiliation: *Hand, Upper Limb and Peripheral Nerve Surgery Department, Georges-Pompidou European Hospital (HEGP), Paris, France †Wayne State University School of Medicine, Detroit Medical Center, Detroit, MI ‡Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, NYU Langone Medical Center, New York, NY.
authors.forename: Daniel
authors.initials: D
authors.lastname: Tordjman
authors.forename: Mohamed K
authors.initials: MK
authors.lastname: Barry
authors.forename: Richard M
authors.initials: RM
authors.lastname: Hinds
authors.forename: S Steven
authors.initials: SS
authors.lastname: Yang
mesh_terms: D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D002348:Carpal Bones / Q000002:abnormalities* / Q000378:metabolism*; D005260:Female; D006228:Hand Deformities, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans