Abstract

Lunotriquetral coalition (LTC) is most common of other coalitions in the hand. It is a rare condition, more frequent in females, and mostly in West Africans. LTC is an autosomal dominant condition. It can be complete or partial. Minnaar classified it into four types, and Burnett suggested two types. LTC is largely asymptomatic and discovered incidentally on radiograph. However, incomplete fusion can be symptomatic due to arthritis of the abnormal articulation. It presents as moderate pain in the wrist, weakness, decrease of grip strength. Most of cases can be treated conservatively, few cases with incomplete fusion needs surgical arthrodesis of the two bones. Here we present two different cases of LTC and their management.