Pisiform Excision for Pisotriquetral Instability and Arthritis
| Autor: | Ghazi M. Rayan, Margaret A. Porembski, Andrea Goad, Heather Campion |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Joint Instability Male musculoskeletal diseases medicine.medical_specialty Time Factors Adolescent Arthritis Wrist Grip strength Injury Severity Score Surveys and Questionnaires Confidence Intervals Humans Medicine Orthopedics and Sports Medicine Range of Motion Articular Ulnar nerve Aged Retrospective Studies Hand Strength business.industry Soft tissue Recovery of Function Middle Aged Wrist Injuries Compression (physics) medicine.disease Osteotomy Surgery Radiography body regions Pisiform Bone medicine.anatomical_structure Patient Satisfaction Female Ulnar deviation business Range of motion |
| Zdroj: | The Journal of Hand Surgery. 39:1251-1257.e1 |
| ISSN: | 0363-5023 |
| DOI: | 10.1016/j.jhsa.2014.02.037 |
| Popis: | Purpose To evaluate wrist strength and kinematics after pisiform excision and preservation of its soft tissue confluence for pisotriquetral instability and arthritis. Methods We evaluated 12 patients, (14 wrists) subjectively and objectively an average of 7.5 years after pisiform excision. Three additional patients were interviewed by phone. Subjective evaluation included inquiry about pain and satisfaction with the treatment. Objective testing included measuring wrist flexion and extension range of motion, grip strength, and static and dynamic flexion and ulnar deviation strengths of the operative hand compared with the nonsurgical normal hand. Four patients had concomitant ulnar nerve decompression at the wrist. Results All patients were satisfied with the outcome. Wrist flexion averaged 99% and wrist extension averaged 95% of the nonsurgical hand. Mean grip strength of the operative hand was 90% of the nonsurgical hand. Mean static flexion strength of the operative hand was 94% of the nonsurgical hand, whereas mean dynamic flexion strength was 113%. Mean static ulnar deviation strength of the operative hand was 87% of the nonsurgical hand. The mean dynamic ulnar deviation strength of the operative hand was 103% of the nonsurgical hand. Conclusions Soft tissue confluence-preserving pisiform excision relieved pain and retained wrist motion and static and dynamic strength. Associated ulnar nerve compression was a confounding factor that may have affected outcomes. Type of study/level of evidence Therapeutic IV. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|