Petrou Ilias G, Savioz-Leissing Claire, Gray Anne
Service of Plastic, Reconstructive, Aesthetic and Hand Surgery, Hôpital du Valais, Sierre, Switzerland.
J Hand Microsurg. 2018 Apr;10(1):37-40. doi: 10.1055/s-0037-1606206. Epub 2017 Sep 7.
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.
豌豆骨脱位是一种罕见的腕部损伤。现有有限的文献以病例报告的形式描述了这种病理情况。对于急性损伤,应立即进行闭合复位和固定,而对于诊断延迟或闭合复位失败的病例,其治疗存在争议。在本病例中,一名32岁的右利手男性在跌倒后因左手腕尺侧疼痛就诊于急诊科。初始治疗包括固定,10天后患者因尺侧腕部疼痛持续而被转诊至作者的专科诊所。治疗选择为不进行韧带重建的豌豆骨切除术,功能结果良好。