Isolated Dislocation of the Pisiform Bone

Sharara, K.H.; Farrar, M.D.

doi:10.1016/0266-7681(93)90108-r

Cited by 24 publications

(20 citation statements)

References 3 publications

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“…An open or closed reduction and internal fixation of the pisiform might be employed in these cases. 1,2,4 In the presented case we performed a closed reduction and fixation of the pisiform advocated by Sharara and Farrar, 12 which produced a satisfactory result.…”

Section: Discussionmentioning

confidence: 90%

“…Alternatively, acute dorsiflexion of the wrist with the FCU already contracted and the wrist flexed may cause the pisiform bone to become dislocated. 3,4,[6][7][8]11,12 It appears that the latter mechanism occurs more often. 7,11 Dislocations are usually ventral, but may occur dorsally.…”

Section: Discussionmentioning

confidence: 99%

“…4 Some authors 1,4,6 recommended a closed reduction and immobilization. Sharara et al 12 reported a successful closed reduction and attributed this to keeping the wrist in flexion and pronation to maintain the FCU in the relaxed state.…”

Section: Discussionmentioning

confidence: 99%

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Acute Pisiform Dislocation in Association with Terrible Triad Injury of the Elbow

Branco

Sousa

Dias

et al. 2019

Gaz Med

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Dislocation of the pisiform is a rare injury, with only few cases reported in the literature. This condition, in association with terrible triad injury of the elbow, is an even more rare occurrence. We report a case of a 51-years-old right-handed female patient who suffered from a dislocation of the left pisiform in association with terrible triad injury of the elbow, after a ground level fall. It was performed a reinsertion of the coronoid process and radial collateral ligaments with anchors, radial head arthroplasty, and closed reduction and internal fixation of the pisiform with Kirschner wire. At the end of follow-up, the patient had satisfactory range of movement of the wrist and elbow, and no residual pain. This rare injury to the wrist is demanding in diagnostics and treatment. However, with a correct diagnosis and appropriate treatment, an excellent clinical outcome can be achieved.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Acute Pisiform Dislocation in Association with Terrible Triad Injury of the Elbow

Branco

Sousa

Dias

et al. 2019

Gaz Med

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“…Consequently total 19 articles were identified. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Of these 19, 14 cases involved adults whereas 5 were of children or adolescents. Fourteen reported isolated dislocations, 1 dislocation fracture, whereas 2 cases were associated with distal radius fractures and 3 had concomitant hamate dislocation.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Dislocation of the Pisiform Bone

2017

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Pisiform dislocation is a rare wrist injury. The limited literature available describes this pathology in the form of case reports. An immediate closed reduction and immobilization is indicated for acute injury while there is a debate in the management of cases with delayed diagnosis or failed closed reduction. In this case, a 32-year-old, right-handed man visited the emergency department with pain at the ulnar side of his left wrist after a fall. The initial management involved immobilization, and the patient was referred to the authors' specialized clinic 10 days later because of persistence of important ulnar wrist pain. The choice of treatment was pisiform excision without ligament reconstruction with excellent functional results.

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“…Isolated dislocation of carpal bones is rare, except for the lunate and the perilunate bone. Dislocation of the pisiform bone is particularly rare because of the sturdiness of the ligamentous complex which stabilizes the pisiform to the carpus [2,3,4]. In this paper, we present a case of isolated pisiform dislocation in a young boy, successfully treated by closed reduction.…”

Section: Introductionmentioning

confidence: 98%

Isolated dislocation of the pisiform bone in a 10-year-old boy

et al. 2019

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Introduction Isolated dislocation of the pisiform bone is a very rare condition due to robust ligamentous attachments that stabilize the pisiform to the carpus. This type of injury is usually a result of direct trauma to the ulnar and volar aspect of the wrist. Case outline We present an isolated dislocation of the pisiform, with no other carpal bone injuries, treated successfully with closed reduction. Diagnosis was based on clinical findings, plain radiographs, and computer tomography examination of the wrist. Elongation and partial rupture of the pisometacarpal ligament was found on magnetic resonance imaging. Conclusion Fracture and dislocation of the pisiform is an extremely rare injury in children, which could be easily neglected or misdiagnosed. Closed reduction with plaster cast immobilization should always be considered as the first method of treatment in the pediatric population, since the conservative approach provides excellent results.

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Isolated Dislocation of the Pisiform Bone

Abstract: A case is reported of dislocation of the pisiform, successfully treated by conservative means.

Cited by 24 publications

References 3 publications

Acute Pisiform Dislocation in Association with Terrible Triad Injury of the Elbow

Acute Pisiform Dislocation in Association with Terrible Triad Injury of the Elbow

Traumatic Dislocation of the Pisiform Bone

Isolated dislocation of the pisiform bone in a 10-year-old boy

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