J Hand Microsurg 2018; 10(01): 037-040
DOI: 10.1055/s-0037-1606206
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Traumatic Dislocation of the Pisiform Bone

Ilias G. Petrou
1   Service of Plastic, Reconstructive, Aesthetic and Hand Surgery, Hôpital du Valais, Sierre, Switzerland
,
Claire Savioz-Leissing
1   Service of Plastic, Reconstructive, Aesthetic and Hand Surgery, Hôpital du Valais, Sierre, Switzerland
,
Anne Gray
1   Service of Plastic, Reconstructive, Aesthetic and Hand Surgery, Hôpital du Valais, Sierre, Switzerland
› Author Affiliations
Further Information

Publication History

Received: 11 June 2017

Accepted: 24 July 2017

Publication Date:
07 September 2017 (online)

Abstract

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.

 
  • References

  • 1 Pevny T, Rayan GM, Egle D. Ligamentous and tendinous support of the pisiform, anatomic and biomechanical study. J Hand Surg Am 1995; 20 (02) 299-304
  • 2 Cohen I. Dislocation of the Pisiform. Ann Surg 1922; 75 (02) 238-239
  • 3 Immermann EW. Dislocation of the pisiform. J Bone Joint Surg Am 1948; 30A (02) 489-22
  • 4 Sundaram M, Shively R, Patel B, Tayob A. Isolated dislocation of the pisiform. Br J Radiol 1980; 53 (633) 911-912
  • 5 Korovessis P. [Traumatic luxation of the pisiform bone]. Handchir Mikrochir Plast Chir 1983; 15 (03) 196-197
  • 6 Minami M, Yamazaki J, Ishii S. Isolated dislocation of the pisiform: a case report and review of the literature. J Hand Surg Am 1984; 9A (01) 125-127
  • 7 Gainor BJ. Simultaneous dislocation of the hamate and pisiform: a case report. J Hand Surg Am 1985; 10 (01) 88-90
  • 8 García-Elias M. Simultaneous dislocation of the hamate and pisiform bone. J Hand Surg Am 1985; 10 (06) Pt (01) 908-909
  • 9 McCarron RF, Coleman W. Dislocation of the pisiform treated by primary resection. A case report. Clin Orthop Relat Res 1989; (241) 231-233
  • 10 Ishizuki M, Nakagawa T, Itoh S, Furuya K. Positional dislocation of the pisiform. J Hand Surg Am 1991; 16 (03) 533-535
  • 11 Sharara KH, Farrar M. Isolated dislocation of the pisiform bone. J Hand Surg [Br] 1993; 18 (02) 195-196
  • 12 Ashkan K, O'Connor D, Lambert S. Dislocation of the pisiform in a 9-year-old child. J Hand Surg [Br] 1998; 23 (02) 269-270
  • 13 Kubiak R, Slongo T, Tschäppeler H. Isolated dislocation of the pisiform: an unusual injury during a cartwheel maneuver. J Trauma 2001; 51 (04) 788-789
  • 14 Levante S, Ebelin M. [Traumatic dislocation of the pisiform bone: a case report and review of the literature]. Chir Main 2002; 21 (04) 264-268
  • 15 Schädel-Höpfner M, Böhringer G, Junge A. Dislocation of the pisiform bone after severe crush injury to the hand. Scand J Plast Reconstr Surg Hand Surg 2003; 37 (04) 252-255
  • 16 Mancini F, De Maio F, Ippolito E. Pisiform bone fracture-dislocation and distal radius physeal fracture in two children. J Pediatr Orthop B 2005; 14 (04) 303-306
  • 17 Matsumoto T, Tsunoda M, Yamaguchi S. et al. Traumatic dislocation of the hamate and pisiform: a case report and review of the literature. J Orthop Trauma 2005; 19 (04) 282-285
  • 18 Goriainov V, Bayne G, Warwick DJ. Traumatic dislocation of the pisiform: a case report. J Orthop Surg (Hong Kong) 2010; 18 (03) 389-390
  • 19 Saleh WR, Yajima H, Nakanishi A. Conservative treatment of the isolated dislocation of the pisiform bone. J Plast Surg Hand Surg 2014; 48 (04) 283-284
  • 20 Hurni Y, Fusetti C, de Rosa V. Fracture dislocation of the pisiform bone in children: a case report and review of the literature. J Pediatr Orthop B 2015; 24 (06) 556-560
  • 21 Pevny T, Rayan GM. Recurrent dislocation of the pisiform bone. Am J Orthop 1996; 25 (02) 155-156