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Pisiformectomy in Young PatientsFrom the Department of Orthopaedic Surgery, Section of Hand Surgery, Mayo Clinic and Mayo Foundation, Rochester, U.S.A Correspondence: R. L. Linscheid, M.D., Department of Orthopaedic Surgery, Section of Hand Surgery, Mayo Clinic, Rochester, Minnesota 55905, U.S.A. Pisotriquetral arthrosis in young patients is considered rare and the diagnosis may be difficult to distinguish from other ulno-carpal problems. 12 patients under 40 years of age (15 cases) who underwent pisiformectomy were reviewed at a mean of 41 months. Patients with a good history of trauma and a positive response to intra-articular local anaesthetic injection did well. Others with an indefinite history and bilateral symptoms did not do so well. Trispiral tomography is the radiological investigation of choice.
Journal of Hand Surgery (British and European Volume), Vol. 17, No. 3,
346-348 (1992) |
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