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Pisiform dislocation
Faisal Mahmood1, Milind Mehta2, Rahul Kakkar1
1Furness General Hospital, Barrow-in-Furness, Cumbria, UK mahmood.f.94@hotmail.co.uk rahul.kakkar@mbht.nhs.uk.
BMJ Case Reports
|January 7, 2021
Summary
A rare pisiform dislocation injury was successfully treated with closed reduction under a hematoma block. Prompt emergency department intervention led to complete symptom resolution for this hand injury.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand Surgery
Background:
- Pisiform dislocation is an infrequent wrist injury.
- Limited literature exists, primarily case reports.
- Early diagnosis and management are crucial to prevent morbidity.
Observation:
- A 51-year-old male sustained a pisiform dislocation after a fall.
- The patient presented to the emergency department on the same day.
Findings:
- A closed reduction was successfully performed under a hematoma block.
- The patient experienced complete symptom resolution upon follow-up.
Implications:
- This case highlights the efficacy of prompt closed reduction for pisiform dislocations.
- It underscores the importance of recognizing this uncommon injury.
- Successful non-operative management can lead to excellent patient outcomes.
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