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Doctor insights on: Pisiform

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Is it possible to dislocate the pisiform bone?

Is it possible to dislocate the pisiform bone?

Possible but rare: The pisiform bone is one of the eight carpal (wrist) bones. It is a small pea-shaped sesamoid bone located where the ulna (one of the lower arm bones) joins the wrist (on the pinky side). Dislocation of the pisiform is possible, but rare. Fracture of the pisiform is also uncommon. ...Read more

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A part of my hand somewhere in pisiform aches whenever i used my hand for writing. Also when i am pressing that part i feel pain. What could this be?

A part of my hand somewhere in pisiform aches whenever i used my hand for writing. Also when i am pressing that part i feel pain. What could this be?

Pisiform: Things going on at the same time in great detail.for the current symptoms and what is being treated. Anyone with a touch of arthritis, andabruise can have similar findings often one is better off seeing a qualified hand surgeon or orthopedist . pisotriqutral arthritis, fracture, contusion , tendonitis of the FCU all are possible ...Read more

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How is a fractured pisiform bone in wrist treated?

How is a fractured pisiform bone in wrist treated?

Usually by cast: For few weeks, then splint if you have no more problems. Good result usually. ...Read more

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I was told I have tendonitis of my pisiform. But I have so much pain on the user side of my wrist, aching and burning. Is this caused by thtendinitis?

I was told I have tendonitis of my pisiform. But I have so much pain on the user side of my wrist, aching and burning. Is this caused by thtendinitis?

Varies: There are multiple potential causes of wrist and hand pain and I would encourage you to be evaluated by a specialist. In part because your diagnosis makes no sense. Tendonitis is an inflammation of a tendon and the pisiform is a bone. You can not have a Tendonitis of a bone. ...Read more

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Preparing for pisiform wrist surgery, what is best/longest lasting nerve block? Is brachial axillary longer/wider cover than wrist block? Any others?

Preparing for pisiform wrist surgery, what is best/longest lasting nerve block? Is brachial axillary longer/wider cover than wrist block?  Any others?

That Depends..: Wrist blocks are used most often for procedures lasting 30 minutes or less, unless supplemented by other nerve blocks that allow forearm tourniquet placement. Length of anesthesia relates more to anesthetic used +/- Epinephrine than block technique. Brachial plexus blocks work well if supplemented by a musculocutaneous nerve block. Bottom line: rely on your experienced anesthesiologist to advise! ...Read more

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What I think is my pisiform bone has moved to the centre of the back of my left hand and is sticking up :( Any idea what this is and what should I do?

What I think is my pisiform bone has moved to the centre of the back of my left hand and is sticking up :( Any idea what this is and what should I do?

Bony lumps: If you are seeing a bony lump in the back of your hand, you may want to have it looked at by an orthopedic surgeon or a hand surgeon. If there is no pain and it is not bothering you, then it may not require any treatment. An Xray of your wrist and hand would likely show the cause of the lump. ...Read more

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What can I do for wrist pain, mainly pisiform bone? Pain even when i move wrist a certain way. Pinky has felt numb in the past. Brace hasn't helped.

What can I do for wrist pain, mainly pisiform bone? Pain even when i move wrist a certain way. Pinky has felt numb in the past. Brace hasn't helped.

Tendinitis is common: cause of these symptoms with this history . In general sudden onset of pain swelling, responds to rest, , ice applied for about 15 minute s on and off, compression gentle wrap, or use a soft splint not too tight, ad gentle elevation. If one can take these then tylenol (acetaminophen) or other OTC Nsaids can work well. X-rays are used to rule out other issues such as calcium deposit or fracture ...Read more

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I was silly and hit a wall with my right hand with the outer side i think I have hurt the pisiform bone? It is slighty swollen but there is no bruise

I was silly and hit a wall with my right hand with the outer side i think I have hurt the pisiform bone? It is slighty swollen but there is no bruise

See your doctor: This problem can only be solved by seeing your doctor and being evaluated face-to-face. After a thorough examination, your doctor should be able to tell you what's wrong and what to do about it. ...Read more

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Which autoimmune disease or other process causes big toes to suddenly deviate into other toes, creating painful bunions, and the pisiform bones in wrists to enlarge at the same time?

Which autoimmune disease or other process causes big toes to suddenly deviate into other toes, creating painful bunions, and the pisiform bones in wrists to enlarge at the same time?

Destructive joints: There are inflammatory arthritites that can cause deviation and destruction of small joints: rhuematoid arthritis, psoriatic arthritis, etc. See your doctor for a referral to a rheumatologist if you are concerned. Hope that helps! ...Read more

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MRI of right hand shows perforation of the triangular fibrocartilage and degenerative changes of the triquetrum pisiform joint. Surgery only option?

MRI of right hand shows perforation of the triangular fibrocartilage and degenerative changes of the triquetrum pisiform joint. Surgery only option?

Not necessarily: I don't treat imaging studies but rather the clinical symptoms. Are you having pain in the wrist at times or is the pain continuous in nature? Is this your dominant hand? Also, does your wrist lock up on you or makes painful noises? If there is limited ROM, unbearable pain, and locking of the wrist, then surgery should be considered. Otherwise, consider PT, NSAID, and intrarticular wrist shot ...Read more

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Mri shows bone marrow edema of pisiform, trigger thumb, mcp capsulitis and mild distension of first cmc joint capsule. What does it all mean?

Mri shows bone marrow edema of pisiform, trigger thumb, mcp capsulitis and mild distension of first cmc joint capsule. What does it all mean?

Basal thumb joint OA: The base of the thumb is a very common spot for osteoarthritis. This diagnosis can usually be made without imaging studies, so if your doctor ordered an MRI scan, i suspect the doctor had some special concern or diagnosis in mind. ...Read more

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How many Depo-Provera Medrol (methylprednisolone) 40mg injections will get rid of my chronic inflammation of the pisiform bone and the flexor carpi ulnaris?Had 2, no improvement.

How many Depo-Provera Medrol (methylprednisolone) 40mg injections will get rid of my chronic inflammation of the pisiform bone and the flexor carpi ulnaris?Had 2, no improvement.

Not a good option-: -though steroid injections help, they are also great destroyers of soft tissue as tendons, articular cartilage, ,so you should not keep getting them. You are young & the damages can B life long. The tendon may rupture, and the pisoform may loose blood supply. The drugs are great but their use need be judicious. ...Read more