Acute Pisiform Dislocation in Association with Terrible Triad Injury of the Elbow Luxação Aguda do Pisiforme Associada a Tríade Terrível do Cotovelo

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Pedro Martins Branco - Corresponding Author

Rua Zeferino Silva, nº 39-51, 2005-321 Santarém, Portugal

João Sousa
Carlos Maia Dias
Manuel Oliveira
António Júlio Silva
Tiago Paiva Marques

Abstract

Dislocation of the pisiform is a rare injury, with only few cases reported in the literature. This condition, in association with terrible triad injury of the elbow, is an even more rare occurrence. We report a case of a 51-years-old right-handed female patient who suffered from a dislocation of the left pisiform in association with terrible triad injury of the elbow, after a ground level fall. It was performed a reinsertion of the coronoid process and radial collateral ligaments with anchors, radial head arthroplasty, and closed reduction and internal fixation of the pisiform with Kirschner wire. At the end of follow-up, the patient had satisfactory range of movement of the wrist and elbow, and no residual pain. This rare injury to the wrist is demanding in diagnostics and treatment. However, with a correct diagnosis and appropriate treatment, an excellent clinical outcome can be achieved.

Keywords: Elbow Joint/injuries; Joint Dislocations; Pisiform Bone/injuries; Wrist Injuries

Article Details

1.
Branco PM, Sousa J, Dias CM, Oliveira M, Silva AJ, Marques TP. Acute Pisiform Dislocation in Association with Terrible Triad Injury of the Elbow: Luxação Aguda do Pisiforme Associada a Tríade Terrível do Cotovelo. Gaz Med [Internet]. 2019 Dec. 30 [cited 2024 Nov. 26];6(4). Available from: https://gazetamedica.pt/index.php/gazeta/article/view/285
Section
CLINICAL CASE

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