Traitement des douleurs piso-triquétrales par exérèse du pisiforme : à propos de 15 cas

Pierre, A.; Nen, D. Le; Hu, Wei; Dubrana, F.; Saraux, Alain; Chaise, F.

doi:10.1016/s1297-3203(02)00003-3

Cited by 20 publications

(6 citation statements)

References 12 publications

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“…Moreover, the outcome of a pisiformectomy in terms of pain, may be incomplete with 50% of patients on average being pain-free 3 years after the pisiformectomy and 85% being pain-free at 10-year follow-up. 2,3,5,6,11,18,[21][22][23][24] In our series, 62.5% of patients were completely pain-free at less than 3 years' follow-up. Finally, ulnar nerve damage at Guyon's canal may appear following pisiformectomy, a complication that we did not encounter in our series.…”

Section: Discussionmentioning

confidence: 42%

“…11,12 Our series only finds a 1% extension loss at follow-up of 2.8 years, which is comparable with the results found in the medical publications at the same follow-up. 5,21 Several studies found a loss of strength of up to 30% in the medium to long term. 5,6,11,12,22,23 Our series, on the other hand, has noted an increase in the wrist strength of all our patients.…”

Section: Discussionmentioning

confidence: 99%

“…The mean age was 45 years AE 5.4 (range, 40-54.8 years) for the pisiformectomy series, and 22.4 years AE 6.7 (range, 14-30 years) for the arthrodesis series. 2,5,6,11,12,[21][22][23][24][25][26]33 The patients' age can be a bias in the assessment of pain and function. Lastly, rheumatoid arthritis in the hand and wrist increases and progresses with age, as our study has shown (►Table 1).…”

Section: Discussionmentioning

confidence: 99%

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Treatment of Pisotriquetral Arthritis by Pyrocarbon Interposition Arthroplasty

et al. 2017

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Pisiformectomy is the baseline treatment for pisotriquetral arthritis when medical treatment fails to address the problem. This operation may lead to loss of mobility and strength in the wrist. This study reports the short-term outcomes of a new technique for treating pisotriquetral arthritis using a pisotriquetral interposition arthroplasty with a pyrocarbon implant. We performed a clinical and radiographic study on a series of eight patients who received this treatment at a mean follow-up of 2.8 years. We also studied the mobility of the implant and did assessed articular instability using dynamic radiology and fluoroscopy. We observed one proximal dislocation of the implant in one hand which was reoperated to reposition the implant and strengthen the capsule. All patients were satisfied or very satisfied with their operation and had an average functional recovery period of 1.6 months. At the last follow-up, the Mayo Wrist Score (MWS), Quick Disability of Arm Shoulder and Hand (QDASH), and Patient-Rated Wrist Evaluation (PRWE) scores were 89, 18, and 20, respectively. Postoperatively, there was a 22% improvement in the grip strength of the wrists as well as improved mobility, mainly as regards the radioulnar deviation (47% improvement) and the Visual Analogue Scale (VAS) pain scores decreased from 8 preoperatively to 2 at the latest follow-up. The functional radiologic and fluoroscopic study reported good adaptive mobility of the implant in all the patients, without any indication of pisotriquetral joint instability. The short-term results of pisotriquetral arthroplasty using the Pyrocardan implant are encouraging. This new surgical solution appears to be a valid alternative to pisiformectomy or pisotriquetral arthrodesis. Long-term studies are required to confirm these preliminary findings.

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Section: Discussionmentioning

confidence: 42%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Treatment of Pisotriquetral Arthritis by Pyrocarbon Interposition Arthroplasty

et al. 2017

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“…Surgical management is indicated in resistant cases after well-conducted conservative treatment. The most used surgical options for PTJ osteoarthritis are pisiformectomy and pisotriquetral fusion [2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Almost all authors describe generally favorable outcomes with pain relief and no loss of wrist motion. However, results for grip strength are contradictory [2][3][4][5][6][7]. In a recent biomechanics study, O'Keefe et al [9] demonstrated that greater flexor carpi radialis (FCU) force was required to flex the wrist after pisiformectomy in cadaver model.…”

Section: Introductionmentioning

confidence: 99%