Locked Traumatic Pisiform Dislocation: A Case Report
JBJS Case Connector, cilt.9, sa.4, 2019 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 9 Sayı: 4
- Basım Tarihi: 2019
- Doi Numarası: 10.2106/jbjs.cc.18.00278
- Dergi Adı: JBJS Case Connector
- Derginin Tarandığı İndeksler: Scopus
- Maltepe Üniversitesi Adresli: Evet
Özet
Case:A 32-year-old man presented to the emergency department with several carpal bone fractures and a locked distal pisiform dislocation after trauma. Treatment consisted of open surgical and reduction, osteosynthesis with a single Kirschner wire, and ligament repair. The patient's functional outcome was excellent, and his Mayo wrist score was 90 at 36 months after injury.Conclusions:Pisiform dislocations may be difficult to diagnose because anteroposterior and lateral radiographs may not be sufficient to visualize the injury. A 30° semisupinated wrist X-ray and computed tomography can be helpful. A satisfactory clinical result may be achieved if distal pisiform dislocations are detected early and managed surgically with open reduction and ligament repair.