Carpal coalition the fifth to eighth weeks. The lunate and triquetral bones are the most common carpal bones to fuse together, resulting in a lunotriquetral coalition in 1% of people. 60% of patients with a lunotriquetral coalition will have it bilaterally. Among isolated incidents the capitate and hamate bones are the next most common to fuse followed by the pisiform-triquetrum, trapezium-trapezoid, scaphoid-capitate, and triquetrum-hamate. Carpal coalitions may further be divided into four subtypes: Generally since carpal-carpal fusions do not cause unease or discomfort for the patient, and do not impair wrist function, treatment is not needed. However, in the minority of cases
Intercarpal joints the hamate, the other, the pisometacarpal ligament, joins the pisiform to the base of the fifth metacarpal bone. These ligaments are, in reality, prolongations of the tendon of the Flexor carpi ulnaris. These joints are also arthrodial joints connected by dorsal, volar, and interosseous ligaments. The dorsal ligaments are three in number, extend transversely from one bone to another on the dorsal surface, connecting the greater with the lesser multangular, the lesser multangular with the capitate, and the capitate with the hamate. The volar ligaments are also three and have a similar arrangement on the volar surface. The three interosseous