Management of Pisotriquetral Instability

J Hand Surg Am. 2018 Jan;43(1):54-60. doi: 10.1016/j.jhsa.2017.10.020. Epub 2017 Nov 21.

Abstract

Pisotriquetral instability is an often-overlooked condition that can lead to ulnar-sided wrist pain and dysfunction. Various case series and biomechanical studies have been published regarding the diagnosis and treatment of this condition. We review current methods for examining, diagnosing, and treating pisotriquetral instability.

Keywords: Carpal instability; pisiform; pisiformectomy; pisotriquetral fusion; pisotriquetral instability.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Arthrodesis
  • Carpal Joints / anatomy & histology
  • Carpal Joints / diagnostic imaging
  • Carpal Joints / surgery*
  • Glucocorticoids / therapeutic use
  • Humans
  • Immobilization
  • Joint Instability / diagnosis
  • Joint Instability / therapy*
  • Ligaments, Articular / anatomy & histology
  • Ligaments, Articular / physiology
  • Medical History Taking
  • Physical Examination
  • Pisiform Bone / anatomy & histology
  • Pisiform Bone / diagnostic imaging
  • Pisiform Bone / surgery*
  • Triquetrum Bone / anatomy & histology
  • Triquetrum Bone / diagnostic imaging
  • Triquetrum Bone / surgery*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Glucocorticoids