Green D P
J Hand Surg Am. 1979 Sep;4(5):465-7. doi: 10.1016/s0363-5023(79)80045-3.
Degenerative arthritis of the pisotriquetral joint was diagnosed by point tenderness over the pisiform and crepitus elicited by lateral movement of the pisiform on the triquetrum. It was confirmed by a roentgenogram of the wrist (lateral view in 30 degrees supination) and injection of the pisotriquetral joint with local anesthetic. Excision of the pisiform resulted in complete relief of pain.
豌豆三角骨关节炎通过豌豆骨上的压痛点及豌豆骨在三角骨上向外侧移动时引发的摩擦音来诊断。腕关节X线片(旋前30度侧位片)及向豌豆三角骨关节内注射局部麻醉药得以确诊。切除豌豆骨后疼痛完全缓解。