open access

Vol 76, No 2 (2017)
REVIEW ARTICLES
Published online: 2016-10-10
Submitted: 2016-07-22
Accepted: 2016-09-02
Get Citation

Capitate-trapezoid synostosis: analysis of an Early Bronze Age case and review of the literature

P. Saccheri, G. Sabbadini, E. Crivellato, A. Canci, F. Toso, L. Travan
DOI: 10.5603/FM.a2016.0068
·
Pubmed: 27813627
·
Folia Morphol 2017;76(2):149-156.

open access

Vol 76, No 2 (2017)
REVIEW ARTICLES
Published online: 2016-10-10
Submitted: 2016-07-22
Accepted: 2016-09-02

Abstract

Background: Carpal synostoses are congenital defects characterised by complete or incomplete coalition of two or more carpal bones. Although most of these defects are discovered only incidentally, sometimes they become clinically manifest. Among the different types of carpal coalition, the synostosis between capitate and trapezoid bones is quite rare, with only sparse data available in the literature. The aim of this report was to describe a case of capitate-trapezoid synostosis (CTS) observed in an ancient human skeleton, as well as to scrutinise the pertinent literature in order to assess for the characteristics of this type of defect, including its potential relevance to clinical practice.

Materials and methods: We studied the skeletal remains of an Early Bronze Age male warrior affected by incomplete CTS. Macroscopic and radiological examination of the defect was carried out. We also performed a comprehensive PubMed search in the Medline and other specialty literature databases to retrieve and analyse data relevant to the subject under consideration.

Results and Conclusions: The present case is the most ancient CTS ever found. In those literature-reported cases accompanied by careful anatomical description, such as the present one, incomplete coalition invariably occurs between the dorsal surfaces of the two bones, this characteristic emerging as a distinctive morphological trait. Literature analysis further suggests that the true prevalence of CTS is likely to be higher than estimates based on data gathered from radiology series, and that this defect may be associated with pain and carpal bossing more frequently than generally thought

Abstract

Background: Carpal synostoses are congenital defects characterised by complete or incomplete coalition of two or more carpal bones. Although most of these defects are discovered only incidentally, sometimes they become clinically manifest. Among the different types of carpal coalition, the synostosis between capitate and trapezoid bones is quite rare, with only sparse data available in the literature. The aim of this report was to describe a case of capitate-trapezoid synostosis (CTS) observed in an ancient human skeleton, as well as to scrutinise the pertinent literature in order to assess for the characteristics of this type of defect, including its potential relevance to clinical practice.

Materials and methods: We studied the skeletal remains of an Early Bronze Age male warrior affected by incomplete CTS. Macroscopic and radiological examination of the defect was carried out. We also performed a comprehensive PubMed search in the Medline and other specialty literature databases to retrieve and analyse data relevant to the subject under consideration.

Results and Conclusions: The present case is the most ancient CTS ever found. In those literature-reported cases accompanied by careful anatomical description, such as the present one, incomplete coalition invariably occurs between the dorsal surfaces of the two bones, this characteristic emerging as a distinctive morphological trait. Literature analysis further suggests that the true prevalence of CTS is likely to be higher than estimates based on data gathered from radiology series, and that this defect may be associated with pain and carpal bossing more frequently than generally thought

Get Citation

Keywords

capitate-trapezoid fusion/coalition, carpal fusion/coalition/synostosis, anthropology

About this article
Title

Capitate-trapezoid synostosis: analysis of an Early Bronze Age case and review of the literature

Journal

Folia Morphologica

Issue

Vol 76, No 2 (2017)

Pages

149-156

Published online

2016-10-10

DOI

10.5603/FM.a2016.0068

Pubmed

27813627

Bibliographic record

Folia Morphol 2017;76(2):149-156.

Keywords

capitate-trapezoid fusion/coalition
carpal fusion/coalition/synostosis
anthropology

Authors

P. Saccheri
G. Sabbadini
E. Crivellato
A. Canci
F. Toso
L. Travan

References (45)
  1. Alemohammad AM, Nakamura K, El-Sheneway M, et al. Incidence of carpal boss and osseous coalition: an anatomic study. J Hand Surg Am. 2009; 34(1): 1–6.
  2. Andersen Jr. PE, Schwartz W. Doppelseitige Synostosen zwischen dem Os trapezoideum und dem Os capitatum bei Turner-Syndrom. Radiologe. 1979; 19: 499–501.
  3. Anderson RJ. Division of the scaphoid bone of the carpus, with notes on other varieties of the carpal bones. J Anat Physiol. 1883; 17: 253–255.
  4. Bogart FB. Variations of the bones of the wrist. Am J Roentgenol Radium Ther. 1932; 28: 638–646.
  5. Burnett SE. Hamate-pisiform coalition: morphology, clinical significance, and a simplified classification scheme for carpal coalition. Clin Anat. 2011; 24(2): 188–196.
  6. Buysch K, Drewes J, Günther D. Synostosen zwischen Multangulum minus und Capitatum. Fortschr Röntgenstr. 1971; 115(08): 267–268.
  7. Carlson DH. Coalition of the carpal bones. Skeletal Radiol. 1981; 7(2): 125–127.
  8. Castriota–Scanderbeg A, Dallapiccola B Abnormal skeletal phenotypes. Springer-Verlag, Berlin Heidelberg 2005: 434.
  9. Cave AJ. Fusion of carpal elements. J Anat. 1926; 60(Pt 4): 460–461.
  10. Choudhry R, Tuli A, Chimmalgi M, et al. Os capitatotrapezoid: a case report. Surg Radiol Anat. 1998; 20(5): 373–375.
  11. Christ AB, Maertens AS, Weiland AJ. Bilateral Complete Osseous Coalition of the Capitate and Trapezoid. J Wrist Surg. 2016; 5(3): 233–235.
  12. Cockshott WP. Carpal fusions. Am J Roentgenol Radium Ther Nucl Med. 1963; 89: 1260–1271.
  13. Cockshott WP. Pisiform hamate fusion. J Bone Joint Surg Am. 1969; 51(4): 778–780.
  14. DeFazio M, Cousins B, Miversuski R, et al. Carpal coalition. A review of current knowledge and report of a single institution’s experience with asymptomatic intercarpal fusion. HAND. 2013; 8(2): 157–163.
  15. Delaney TJ, Eswar S. Carpal coalitions. J Hand Surg Am. 1992; 17(1): 28–31.
  16. deVilliers Minnaar AB. Congenital fusion of the lunate and triquetral bones in the South African Bantu. J Bone Joint Surg Br. 1952; 34-B(1): 45–48.
  17. Dwight T. Variations of bones of hands and feet. A clinical atlas. J.B.Lippincott Ed,, Philadelphia 1907: 13.
  18. Garn SM, Burdi AR, Babler WJ. Prenatal origins of carpal fusions. Am J Phys Anthropol. 1976; 45(2): 203–208.
  19. Garn SM, Frisancho AR, Poznanski AK, et al. Analysis of triquetral-lunate fusion. Am J Phys Anthropol. 1971; 34(3): 431–433.
  20. Geutjens G. Carpal bossing with capitate-trapezoid fusion. A case report. Acta Orthop Scand. 1994; 65(1): 97–98.
  21. Goldstein R. Congenital synostosis of carpal and tarsal bones and ankylosis cubiti. Radiol Clin. 1948; 17(2): 66–73.
  22. Gross S, Watson HK, Strickland J, et al. Triquetral-lunate arthritis secondary to synostosis. J Hand Surg Am. 1989; 14(1): 95–102.
  23. Hanley WB, McKusick VA, Barranco FT. Osteochondritis dissecans with associated malformations in two brothers. A review of familial aspects. J Bone Joint Surg Am. 1967; 49(5): 925–937.
  24. Hughes PC, Tanner JM. The development of carpal bone fusion as seen in serial radiographs. Br J Radiol. 1966; 39(468): 943–949.
  25. Huntley JS, Hooper G. Carpal anomalies. Clin Anat. 2007; 20(3): 326–328.
  26. Kennedy K, Waller CJ, Hartley RH. Congenital lunotriquetral and capitotrapezoid coalitions. J Hand Surg Eur Vol. 2010; 35(1): 79–80.
  27. Knezevich S, Gottesman M. Symptomatic scapholunatotriquetral carpal coalition with fusion of the capitatometacarpal joint. Report of a case. Clin Orthop Relat Res. 1990(251): 153–156.
  28. Lonnerblad L. Uber Zwei Seltene Anomalien(?) Im Carpus. Acta Radiologica. 2010; 16(6): 682–690.
  29. Macnicol MF. Kienböck's disease in association with carpal coalition. HAND. 1982; 14(2): 185–187.
  30. Mespreuve M, De Cuyper K, Vansevenant M, Verstraete K (2015) Carpal coalition: 4 cases of a rare bony coalition between the capitate and trapezoid bone, with MRI findings in a symptomatic case. http://www.eurorad.org/case.php?id=12910 doi: 10.1594/eurorad/case.12910 (Accessed 2015 September 08).
  31. Neiss A. Doppelseitige Synostose zwischen dem Os multangulum minus und dem Os capitatum. Fortschr Röntgenstr. 2009; 82(06): 825.
  32. Oberlin C, Sakka M. [The most ancient case of synostosis of the carpal bones: pyramido-lunate synostosis in La Ferrassie man]. Ann Chir Main. 1989; 8(3): 269–272.
  33. O’Rahilly R. A survey of carpal and tarsal anomalies. J Bone Joint Surg Am. 1953; 35-A(3): 626–642.
  34. Park MJ, Namdari S, Weiss AP. The carpal boss: review of diagnosis and treatment. J Hand Surg Am. 2008; 33(3): 446–449.
  35. Parlorio E. Carpal coalitions. http://www.eurorad.org/case.php?id=2408 (Accessed 2016 July 08).
  36. Peters S, Colaris JW. Carpal coalition: symptomatic incomplete bony coalition of the capitate and trapezoid--case report. J Hand Surg Am. 2011; 36(8): 1313–1315.
  37. Peyton RS, Moore JR. Fracture through a congenital carpal coalition. J Hand Surg Am. 1994; 19(3): 369–371.
  38. Pope T, Bloem HL, Beltran J, Morrison WB, Wilson DJ. Musculoskeletal Imaging. Elsevier Saunders, Philadelphia 2014: 1085.
  39. Pruszczynski B, Saller J, Rogers KJ, et al. Incidence of carpal coalition in the pediatric population. J Pediatr Orthop. 2016; 36(8): e106–e110.
  40. Rice J, Stephens M, Colville J. Scaphoid osteochondroma mimicking carpal coalition. J Hand Surg Br. 1996; 21(6): 779–780.
  41. Schubert R. Capitato-trapezoid synostosis. http://radiopaedia.org/ (Accessed 2016 July 08).
  42. Singh P, Tuli A, Choudhry R, et al. Intercarpal fusion – a review. J Anat Soc India. 2003; 52: 183–188.
  43. Spaans A, Beumer A. Carpal coalitions; failures of differentiation of the carpus: a description of cases. Open J Radiol. 2013; 3: 1–6.
  44. Vitri S. Le prime indagini in tumuli friulani: gli scavi della Soprintendenza per i beni Archeologici del Friuli Venezia Giulia. In: Cassola Guida P, Calosi M (eds) Una sepoltura monumentale dell’antica età del Bronzo: il tumulo di Sant’Osvaldo (Udine). Scavi 2000–2002. Studi e Ricerche di Protostoria mediterranea 9. Quasar, Roma 2011: 99–104.
  45. Walia J, Singh A, Walia AK, et al. Bilateral coalition of capitate and trapezoid a very rare case. Indian J Radiol Imag. 2006; 16(4): 585.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl