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KMID : 0621520130180030132
Journal of the Korean Society for Surgery of the Hand
2013 Volume.18 No. 3 p.132 ~ p.137
Surgical Management of Pisiform Bone Deformity Associated with Tendonitis of Flexor Carpi Ulnaris
Kwon Sung-Min

Cha Jae-Hak
Oh Jin-Rock
Abstract
Purpose: This study was performed to investigate the degree of symptomimprovement after removal of bone fragment in patients with deformed pisiformbone associated with tendonitis of flexor carpi ulnaris.

Methods: Pisiform bone fragment removal was performed in 12 patients whohad failed conservative treatment from January 2008 to December 2011. Theywere followed up at 2 weeks, 1 month, 2 months, 6 months, and 12 months aftersurgery. Their symptoms were assessed with Green score.

Results: Eleven of 12 patients who underwent bone fragment removal showedsymptom improvement. Symptoms worsened in 1 patient due to pain andrestricted range of motion caused by postoperative scar.

Conclusion: The results of this study suggest that removal of bone fragmentmay be an effective treatment in patients with tendonitis of flexor carpi ulnarisaccompanied by pisiform bone deformity whose pain does not improve withconservative management.
KEYWORD
Flexor carpi ulnaris , Pisiform bone , Surgical management , Wrist pain , Bone widening
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