Top

Published in:

01-06-2015

Nonunion of the pisiform bone in a 9-year-old boy

Authors: Lars Brouwers, Pascal F. W. Hannemann, Peter. R. G. Brink

Published in: HAND | Issue 2/2015

Abstract

An isolated fracture of the pisiform bone is a rare condition, especially in children. The fracture may be missed in the emergency department because of the complex anatomy of the carpal region. Early diagnosis and treatment are, however, important for the functional outcome of the patient, since untreated dislocated carpal fractures may result in nonunion. We report one case of a 9-year-old boy with an unrecognized fracture of the pisiform bone who underwent a pisiformectomy 10 months after injury due to a nonunion of the pisiform bone. Good results were obtained and the wrist did not show any functional impairment.

Ashkan K, O’Connor D, Lambert S. Dislocation of the pisiform in a 9-year-old child. J Hand Surg (Br). 1998;23(2):269–70.

Beckers A, Koebke J. Mechanical strain at the pisotriquetral joint. Clin Anat. 1998;11(5):320–6. doi:10.1002/(SICI)1098-2353(1998)11:5<320::AID-CA5>3.0.CO;2-T.PubMed

Carroll RE, Coyle Jr MP. Dysfunction of the pisotriquetral joint: treatment by excision of the pisiform. J Hand Surg. 1985;10(5):703–7.

Cohen I. Dislocation of the Pisiform. Ann Surg. 1922;75(2):238–9.PubMedCentralPubMed

Dufek P, Thormahlen F, Ostendorf U. Fracture of the pisiform bone in inline skating. Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin. 1999;13(2):59–61. doi:10.1055/s-2007-993315.

Ecklund K. Magnetic resonance imaging of pediatric musculoskeletal trauma. Top Magn Reson Imaging. 2002;13(4):203–17.PubMed

Fleege MA, Jebson PJ, Renfrew DL, Steyers Jr CM, el-Khoury GY. Pisiform fractures. Skelet Radiol. 1991;20(3):169–72.

Geissler WB. Carpal fractures in athletes. Clin Sports Med. 2001;20(1):167–88.PubMed

Hindman BW, Kulik WJ, Lee G, Avolio RE. Occult fractures of the carpals and metacarpals: demonstration by CT. AJR Am J Roentgenol. 1989;153(3):529–32.PubMed

10.

Kohler A, Zimmer EA. Borderland of the normal and early pathologic in skeletal roentgenology, third American edn. New York: Grune and Stratton; 1968.

11.

Lacey JD, Hodge JC. Pisiform and hamulus fractures: easily missed wrist fractures diagnosed on a reverse oblique radiograph. J Emerg Med. 1998;16(3):445–52.PubMed

12.

Lam KS, Woodbridge S, Burke FD. Wrist function after excision of the pisiform. J Hand Surg (Br). 2003;28(1):69–72.

13.

Mancini F, De Maio F, Ippolito E. Pisiform bone fracture-dislocation and distal radius physeal fracture in two children. J Pediatr Orthop B. 2005;14(4):303–6.PubMed

14.

Palmieri TJ. Pisiform area pain treatment by pisiform excision. J Hand Surg. 1982;7(5):477–80.

15.

Papilion JD, DuPuy TE, Aulicino PL, Bergfield TG, Gwathmey FW. Radiographic evaluation of the hook of the hamate: a new technique. J Hand Surg. 1988;13(3):437–9.

16.

Seitz WH, Papandrea RF. Fractures and dislocations of the wrist. In: Bucholz RW, Heckman JD, editors. Rockwood and Green’s fractures in adults. 5th ed. Lippincott: Williams & Wilkins; 2002.

17.

Vasilas A, Gireco RV, Bartone NF. Roentgen aspects of injuries to the pisiform bone and pisotriquetral joint. J Bone Joint Surg Am Vol. 1960;42A:1317–28.

18.

Zeitoun F, Frot B, Sterin P, Tubiana JM. Views necessary for the traumatic wrist. Ann Radiol. 1995;38(5):255–65.PubMed

19.

Zimmerman NB, Mass DP. A pisiform fracture. Orthopedics. 1987;10(5):817–20.PubMed

Title: Nonunion of the pisiform bone in a 9-year-old boy
Authors: Lars Brouwers
Pascal F. W. Hannemann
Peter. R. G. Brink
Publication date: 01-06-2015
Publisher: Springer US
Published in: HAND / Issue 2/2015
Print ISSN: 1558-9447
Electronic ISSN: 1558-9455
DOI: https://doi.org/10.1007/s11552-014-9613-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Nonunion of the pisiform bone in a 9-year-old boy

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2015

Pseudo-winging of the scapula caused by scapular osteochondroma: review of literature and case report

A threshold disability score corresponds with an estimated diagnosis of clinical depression in patients with upper extremity disease

Language barriers in Hispanic patients: relation to upper-extremity disability

Myopericytoma of the distal forearm: a case report

Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report

Over 20-year follow-up of Miura reconstruction of cleft hand