Surgical Management of Pisiform Bone Deformity Associated with Tendonitis of Flexor Carpi Ulnaris

Kwon,  Sung Min; Cha,  Jae Hak; Oh,  Jin Rok

doi:2013.18.3.132

Arch Hand Microsurg > Volume 18(3); 2013 > Article

Original Article

Journal of the Korean Society for Surgery of the Hand 2013;18(3):132-137.
Published online September 30, 2013.
DOI: https://doi.org/10.12790/jkssh.2013.18.3.132

Surgical Management of Pisiform Bone Deformity Associated with Tendonitis of Flexor Carpi Ulnaris

Sung Min Kwon, Jae Hak Cha, Jin Rok Oh

Department of Orthopedics, Yonsei University Wonju College of Medicine, Wonju, Korea. jroh@yonsei.ac.kr

Received: 1 July 2013 • Revised: 13 August 2013 • Accepted: 14 September 2013

Abstract

Purpose
This study was performed to investigate the degree of symptom improvement after removal of bone fragment in patients with deformed pisiform bone associated with tendonitis of flexor carpi ulnaris.

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

Results
Eleven of 12 patients who underwent bone fragment removal showed symptom improvement. Symptoms worsened in 1 patient due to pain and restricted range of motion caused by postoperative scar.

Conclusion
The results of this study suggest that removal of bone fragment may be an effective treatment in patients with tendonitis of flexor carpi ulnaris accompanied by pisiform bone deformity whose pain does not improve with conservative management.