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Isolated distal pisiform dislocation: Case Report.

Rafael Dias1, Teresa Alves-da-Silva1, Carlos Martinho1

  • 1Departamento de Especialidades Cirúrgicas, Unidade Funcional de Ortopedia, Hospital de Cascais - Dr. José de Almeida, Alcabideche, Portugal.

Revista Brasileira De Ortopedia
|June 2, 2022
PubMed
Summary
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Isolated pisiform dislocation, a rare wrist injury often missed, can be treated effectively. This case highlights successful surgical repair in a young male, emphasizing prompt diagnosis and management for optimal wrist function.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Hand Surgery

Background:

  • Isolated pisiform dislocation is a rare wrist injury.
  • Often overlooked, it typically affects young males.
  • Proximal dislocations are more common due to flexor carpi ulnaris (FCU) muscle action.

Purpose of the Study:

  • To present a case of isolated distal pisiform dislocation.
  • To discuss the diagnosis and management of this rare injury.
  • To highlight successful surgical outcomes.

Main Methods:

  • Case report of a 19-year-old male with wrist trauma.
  • Diagnosis of isolated distal pisiform dislocation.
  • Treatment via open reduction and internal fixation with Kirschner wires.
Keywords:
carpal bonesjoint dislocationspisiformwrist injuries

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Main Results:

  • The patient achieved excellent functional outcomes post-surgery.
  • Demonstrates the efficacy of surgical intervention for distal pisiform dislocation.
  • Contributes to understanding management options for this rare lesion.

Conclusions:

  • Isolated distal pisiform dislocation requires careful assessment.
  • Closed reduction is the initial treatment for acute cases.
  • Open reduction or pisiform excision are viable alternatives if closed reduction fails.