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The anatomical variations of bones in the hand are common. The existence of exostosis and shortening of metacarpal bones has been described in the literature as part of the hereditary multiple exostosis syndrome but no case has been reported with the co-existence of sesamoid ossicles in the same patient.    Case presentation  We report a case with co-existence of distal ulnar and radial exostoses, 4 th  and 5 th  short metacarpals and sesamoid ossicles in the wrist area.    Conclusion  This variation may help the interpretation of pain or sensory disorders in the hand and wrist areas.

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Anatomical variation of co-existence of 4th and 5thshort metacarpal bones, sesamoid ossicles and exostoses of ulna and radius in the same hand: a case report