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European Journal of Plastic Surgery

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01-04-2020 | Osteoarthrosis | Original Paper

Pisiform excision is an effective and safe treatment for ulnar-sided wrist pain related to the pisotriquetral joint

Authors: M. V. van Burink, S. Al Shaer, J. van Rossen, G. van Couwelaar, H. Rakhorst, O. T. Zöphel

Published in: European Journal of Plastic Surgery | Issue 2/2020

Abstract

Background

Pisotriquetral disorders can cause chronic ulnar-sided wrist pain. When conservative treatment is insufficient, pisiform excision can be a solution. There are reports found in the literature describing variable effects of this procedure in small, descriptive case series.

Methods

This study included 175 patients who underwent pisiform excision performed in various specialized private hand clinics between 2011 and 2015. Patients were analyzed using standardized outcome measurements.

Results

Functionality was improved significantly 3 months postoperative, with a decrease in pain (n = 86) (P < 0.05), mean improvement of 13 degrees in wrist flexion/extension (n = 72) (P < 0.001), and 18% increase in strength (n = 75) (P < 0.001). Twelve months postoperatively, the wrist function (PRWHE-DLV) improved from a mean of 64 to 25 (n = 62) (P < 0.001).

Conclusions

The results support pisiform excision as an effective and safe treatment. Significant pain relief can be expected with improvement in wrist function. Unfortunately, a high amount of data was missing. The authors believe that the data presented in the study represents an underestimation of the results.

Level of evidence: Level III, therapeutic study.

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Title: Pisiform excision is an effective and safe treatment for ulnar-sided wrist pain related to the pisotriquetral joint
Authors: M. V. van Burink
S. Al Shaer
J. van Rossen
G. van Couwelaar
H. Rakhorst
O. T. Zöphel
Publication date: 01-04-2020
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthrosis
Osteoarthrosis
Wrist Pain
Tendinitis
Published in: European Journal of Plastic Surgery / Issue 2/2020
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI: https://doi.org/10.1007/s00238-019-01587-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pisiform excision is an effective and safe treatment for ulnar-sided wrist pain related to the pisotriquetral joint

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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