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CASE REPORT
CONCLUSIONS
Luno-triquetral coalitions progress radiographically in a typical
distally across the width of the bones. If fusion remains incomplete, a distal notch may be seen. This sequence can be observed from approximately age 7 to 13 years. Capito-hamate coalitions occur earlier in childhood, with bony fusion seen by age 6. The typical radiographic sequence includes hamate larger or equal in size to capitate, parallel cortex sign, and bony fusion
Address correspondence to:
Kenneth Rogers, PhD, ATC, Nemours/Alfred I. duPont Hospital for Children, Department of Orthopedics, P.O. Box 269, Wilmington, DE 19899; Phone (302) 651-5906; Fax (302) 651- 5951; krogers@nemours.org
Ethical approval: approved as retrospective study.
CONTRIBUTING AUTHORS
■ BLAZEJ PRUSZCZYNSKI, MD is a physician with an interest in pediatric orthopaedics who is currently practicing in Poland. He is a former research fellow at Nemours/Alfred I. duPont Hospital for Children in Wilmington.
■ LAURENW.AVERILL,MDIsaphysicianwhoisinterestedinpediatric musculoskeletal imaging, including radiography, ultrasound, and magnetic resonance imaging. She has been practicing in Delaware since 2007 and currently practices at Nemours/Alfred I duPont Hospital for Children in Wilmington.
■ KENNETHJ.ROGERS,PhD,ATCisinterestedinpediatricorthopaedic outcomes. He is the Program Manager for Clinical Research for the Department of Orthopaedics at Nemours/Alfred I. duPont Hospital for Children in Wilmington.
■ JEREMY M. SALLER, MD is a physician with an interest in pediatric orthopaedics. He is a former clinical fellow at Nemours/Alfred I. duPont Hospital for Children in Wilmington. He is currently practicing general pediatric orthopaedic surgery in Virginia.
■ JENNIFER TY, MD is a practicing orthopaedic surgeon with an interest in pediatric orthopaedics. She is the Director of the Upper Extremity program at Nemours/Alfred I. duPont Hospital for Children in Wilmington.
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