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Related Experiment Videos

Pisiformectomy in young patients.

I A Trail1, R L Linscheid

  • 1Department of Orthopaedic Surgery, Mayo Clinic, Rochester.

Journal of Hand Surgery (Edinburgh, Scotland)
|June 1, 1992
PubMed
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Pisotriquetral arthrosis is rare in young patients. Pisiformectomy surgery outcomes depend on trauma history and anesthetic response, with good trauma history patients faring better.

Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Rheumatology

Background:

  • Pisotriquetral arthrosis is an uncommon condition in younger individuals.
  • Diagnosis can be challenging, often confused with other ulno-carpal joint issues.
  • Early identification and treatment are crucial for managing wrist pain and dysfunction.

Purpose of the Study:

  • To evaluate the long-term outcomes of pisiformectomy in patients under 40.
  • To identify factors predicting successful surgical intervention for pisotriquetral arthrosis.
  • To determine the most effective diagnostic imaging for this condition.

Main Methods:

  • A retrospective review of 15 pisiformectomy cases in 12 patients under 40 years old.
  • Follow-up evaluation at a mean of 41 months post-surgery.

Related Experiment Videos

  • Correlation of patient history (trauma, symptoms) and diagnostic tests with surgical outcomes.

    • Main Results:

    • Patients with a clear history of trauma and positive response to local anesthetic injections reported better outcomes.
    • Patients with non-specific histories and bilateral symptoms showed less favorable results.
    • Trispiral tomography was identified as the preferred radiological diagnostic tool.

    Conclusions:

    • Pisiformectomy can be an effective treatment for pisotriquetral arthrosis in carefully selected young patients.
    • A history of specific trauma and a positive response to diagnostic injections are key indicators for successful surgery.
    • Trispiral tomography aids in the accurate diagnosis of pisotriquetral arthrosis, guiding treatment decisions.