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Peer-reviewedCC BYBJR case reports

Carpal coalition in school-aged children in Moray, Scotland: a retrospective radiographic case series.

  1. 1Department of Orthopaedics, Dr Gray's Hospital, Elgin IV30 1SN, United Kingdom.

Abstract

Carpal coalition is a congenital fusion between carpal bones, most often identified incidentally during radiographic evaluation following trauma. This retrospective case series describes the proportion and radiographic characteristics of carpal coalition in school-aged children within a defined geographic region of Moray, Scotland. A review of all Hand and Wrist radiographs of children aged 6-18 years old was performed over 2 years (2021 and 2022), including trauma/emergency and elective clinics. A total of 498 radiographs were analyzed, identifying 9 children with carpal coalition (proportion 1.8%). Hamate-capitate fusion was the most frequently observed pattern. All cases were incidental findings in children presenting with trauma, and none were clinically symptomatic. While this series provides descriptive insight into carpal coalition within a local Scottish cohort, the findings are not generalizable due to selection bias and the small sample size. Future research could help better understand why our observed proportion is higher.

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BibTeX
@article{soo2026carpal,
  title = {{Carpal coalition in school-aged children in Moray, Scotland: a retrospective radiographic case series.}},
  author = {See-Yin Soo and Soniya Chauhan and Katrina Cruickshank and Mohamed Zubair Farook and Antonios Papadopoulos},
  journal = {BJR case reports},
  year = {2026},
  month = nov,
  doi = {10.1093/bjrcr/uaag044},
  url = {https://europepmc.org/article/MED/42997805},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Carpal coalition in school-aged children in Moray, Scotland: a retrospective radiographic case series.
AU  - See-Yin Soo
AU  - Soniya Chauhan
AU  - Katrina Cruickshank
AU  - Mohamed Zubair Farook
AU  - Antonios Papadopoulos
PY  - 2026
DA  - 2026/11/03
JO  - BJR case reports
DO  - 10.1093/bjrcr/uaag044
UR  - https://europepmc.org/article/MED/42997805
AB  - Carpal coalition is a congenital fusion between carpal bones, most often identified incidentally during radiographic evaluation following trauma. This retrospective case series describes the proportion and radiographic characteristics of carpal coalition in school-aged children within a defined geographic region of Moray, Scotland. A review of all Hand and Wrist radiographs of children aged 6-18 years old was performed over 2 years (2021 and 2022), including trauma/emergency and elective clinics. A total of 498 radiographs were analyzed, identifying 9 children with carpal coalition (proportion 1.8%). Hamate-capitate fusion was the most frequently observed pattern. All cases were incidental findings in children presenting with trauma, and none were clinically symptomatic. While this series provides descriptive insight into carpal coalition within a local Scottish cohort, the findings are not generalizable due to selection bias and the small sample size. Future research could help better understand why our observed proportion is higher.
SN  - 2055-7159
ER  -