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[豌豆骨疾病]

[Diseases of the pisiform bone].

作者信息

Gadzaly D

出版信息

Handchirurgie. 1977;9(4):235-6.

PMID:615082
Abstract

Isolated diseases of the os pisiforme is seldom described in the literature. Since 1973 wehave seen 7 patients with typical signs: pain at the region of pisiform, increased by dorsiflexion and radial deviations of the wrist and by compressing the pisiform in the palmar-dorsal plane. The diagnosis of pisiform disease is based on clinical and X-ray examination and followed by histological study after operation. Five of the seven patients came to operation for the following disorder: local, circumscribed chondrosis, chondromatosis of flexor carpi ulnaris with osteochondromatosis, atrophy of the pisiform and in the two cases aseptic osteonecrosis. After partial resection of the pisiform, once combined with Z-shaped lengthening of the tendon of Flexor carpi ulnaris or complete enucleation of the bone all patients were free of discomfort and remained so.

摘要

文献中很少描述豌豆骨的孤立性疾病。自1973年以来,我们共诊治了7例具有典型症状的患者:豌豆骨区域疼痛,手腕背屈和桡偏以及在掌背平面按压豌豆骨时疼痛加剧。豌豆骨疾病的诊断基于临床和X线检查,并在术后进行组织学研究。7例患者中有5例因以下病症接受手术:局部局限性软骨病、尺侧腕屈肌软骨瘤病伴骨软骨瘤病、豌豆骨萎缩,另外2例为无菌性骨坏死。在豌豆骨部分切除后,其中1例联合尺侧腕屈肌腱Z形延长术,另1例为骨完全摘除术,所有患者术后均无不适,且一直保持良好状态。

相似文献

1
[Diseases of the pisiform bone].[豌豆骨疾病]
Handchirurgie. 1977;9(4):235-6.
2
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Zhonghua Wai Ke Za Zhi. 1989 Apr;27(4):207-8, 252-3.
3
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Wrist flexion strength after excision of the pisiform bone.豌豆骨切除术后的腕关节屈曲力量。
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6
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7
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J Hand Surg Am. 1982 Sep;7(5):477-80. doi: 10.1016/s0363-5023(82)80043-9.
8
[Movements of the pisiform and triquetrum bones and their significance for kinematics of the ulnar wrist].
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9
Biomechanical changes of the wrist flexor and extensor tendons following loss of scaphoid integrity.舟状骨完整性丧失后腕屈肌腱和伸肌腱的生物力学变化。
J Orthop Res. 1997 Jan;15(1):69-75. doi: 10.1002/jor.1100150111.
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[Long-term results of pisiform bone transposition in lunate necrosis].
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