Pisiform excision for refractory flexor carpi ulnaris tendinopathy of the wrist

Keywords:

Flexor carpi ulnaris ; pisiform ; tendinopathy ; wrist.


Published online: Dec 30 2018

Hyun Il Lee, Ki Won Lee, Dongjun Park, Min Jong Park

From the Samsung Medical Center, SungKyunKwan University School of Medicine, 81, Irwon-ro, Gangnam-gu, Seoul, Korea 06351

Abstract

The aim is to report the long-term clinical results after pisiform excision in patients with refractory flexor carpi ulnaris (FCU) tendinopathy.

We performed pisiform excision in 14 patients with recalcitrant FCU tendinopathy, who had failed conservative treatment. Nine patients were followed-up for more than 2 years. Pre-operative
pain visual analog scale (VAS) was extracted from the electronic medical records. Post-operative symptoms and function were assessed with pain VAS, quick disabilities of arm, shoulder and hand (DASH) score, patient rated wrist evaluation (PRWE) score, and satisfaction VAS for surgery at the final follow-up.

After the mean follow-up period of 6 years, all patients showed improvement in pain VAS (from 5.9 to 1.2). The post-operative scores of quick DASH and PRWE were 3.5 and 13.1, respectively. Satisfaction VAS score was 8.8 and all patients returned to their work.

Excision of the pisiform bone improved symptoms in patients with refractory FCU tendinopathy.

About this issue

Volume 84, issue 4.

Dec 2018.

 

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