title: The effect of pisiform excision on wrist function.
abstract: OBJECTIVE
  To investigate the effect of pisiform excision on wrist function compared with age- and sex-matched control subjects.
  
  
  METHODS
  The authors evaluated the charts of 11 consecutive patients who had undergone pisiform excision. Nine of these patients could be included and clinically examined, and results were compared with 9 matched controls. Measurements included range of motion, strength measurements, neurological examination, and questionnaires.
  
  
  RESULTS
  Extension in the operated wrist was reduced in patients compared with controls. The Disabilities of the Arm, Shoulder, and Hand and Michigan Hand Outcomes Questionnaires were significantly different between patients and controls. All other entities were equal between groups. Subjectively, patients experienced impairments in function of the operated wrist, but these could not be identified objectively.
  
  
  CONCLUSIONS
  Although great care must be taken in handling the surrounding soft tissue, pisiform excision is a well-tolerated, safe treatment for pain in the pisotriquetral joint resulting from arthrosis and not controlled by nonsurgical means.
  
  
  METHODS
  Therapeutic III.
authors.affiliation: Department of Orthopaedic Surgery, Medisch Spectrum Twente Hospital, Enschede, The Netherlands. Electronic address: Joost.Van-Eijzeren@Pius-Hospital.de.
authors.forename: J
authors.initials: J
authors.lastname: van Eijzeren
authors.affiliation: Department of Orthopaedic Surgery, Medisch Spectrum Twente Hospital, Enschede, The Netherlands.
authors.forename: R P
authors.initials: RP
authors.lastname: Karthaus
mesh_terms: D000328:Adult; D001168:Arthritis / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D001696:Biomechanical Phenomena; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods / Q000534:rehabilitation; D010147:Pain Measurement; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D051220:Pisiform Bone / Q000293:injuries / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012016:Reference Values; D012189:Retrospective Studies; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014955:Wrist Joint / Q000503:physiopathology*; D055815:Young Adult
keywords: Excision; pisiform; retrospective; wrist function