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

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.

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.

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.

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