gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Fractures of the pisiform bone – is osteosynthesis useful?

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  • presenting/speaker Britta Wieskoetter - Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Sektion Hand, Münster, Germany
  • Martin Franz Langer - Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Germany
  • Simon Oeckenpöhler - Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany
  • Sarah Breiter - Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany
  • Johanna Ueberberg - Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1982

doi: 10.3205/19ifssh1199, urn:nbn:de:0183-19ifssh11991

Published: February 6, 2020

© 2020 Wieskoetter et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: Fractures of the pisiform bone are not uncommon. Almost always a conservative therapy is performed. For postoperative complaints due to arthrosis, a pisectomy is recommended.

We reconstructed seven dislocated fractures of the pisiform bone by means of a screw osteosynthesis.

Can this osteosynthesis make sense?

Methods: 5 of the 7 patients could be followed up. Resting pain, stress pain, wrist mobility, DASH and exact clinical investigation of the pisiform area were examined.

Results and Conclusions: There was no pain in any of the patients, no evidence of osteoarthritis was found. 2 patients did not remember which side had been operated on. Neither rest nor stress pain was reported. A slight reduction in hand mobility in dorsiflexion was found in 2 patients.

Osteosynthesis of the pisiform bone may be useful. A nonsensical operation is not according to our results.