Isolated Carpal Dislocation of the Pisiform with Distal Radius Fracture in Two Adults: A Rare Entity |
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| Authors: | Ajay Lall Nicholas Shephard Simon Greenbaum Teresa Doerre Sean Wilson Roy G. Kulick |
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| Affiliation: | 1.American Hip Institute, Des Plaines, Illinois, United States;2.Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Disease, New York, New York, United States;3.Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, United States;4.George Washington University Medical Faculty Associates, Washington, District of Columbia, United States |
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| Abstract: | Background Pisiform dislocations are an extremely rare injury. There are reports in the literature of isolated dislocations, but to our knowledge there are no reports of distal radius fractures with associated pisiform dislocations. Methods and Results We present two cases of isolated pisiform dislocation and distal radius fracture in the adult population. Both patients were managed conservatively with closed reduction in both the distal radius and pisiform, and subsequently achieved good pain relief and progressive return of wrist function. Conclusion For adult patients with distal radius fractures and an associated pisiform dislocation, successful closed reduction and immobilization can result in symptomatic improvement and return of function. |
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| Keywords: | pisiform dislocation distal radius fracture carpal instability pisotriquetral joint pisiform ligament complex |
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