Top
30
Doctor insights on: Pisiform Excision

Share
2

2
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

3

3
My pisiform bone pops out and aches if I do certain workouts. What should I do?

My pisiform bone pops out and aches if I do certain workouts. What should I do?

X rays: you need x rays and you may need surgery to fuse the bone. In the mean time wear a wrist brace or Ace wrap to keep in place. ...Read more

4

4
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

5

5
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

6

6
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

10

10
Preparing for pisiform wrist surgery, what is best/ the longest lasting nerve block? Is brachial axillary longer/wider cover than wrist block? Any others?

Preparing for pisiform wrist surgery, what is best/ the 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 fewer, 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

11

11
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. A Xray of your wrist and hand would likely show the cause of the lump. ...Read more

14

14
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

15

15
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

16

16
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

17

17
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

18

18
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

19

19
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 lose blood supply. The drugs are great but their use need be judicious. ...Read more

20

20
Will mcp capsulitis, moderate bone marrow edema at 1st pisiform, mild edema at 1st metacarpal due to contusion/stress reaction, mild distension of 1st cmc joint capsule effect surgery on trigger thumb?

Will mcp capsulitis, moderate bone marrow edema at 1st pisiform, mild edema at 1st metacarpal due to contusion/stress reaction, mild distension of 1st cmc joint capsule effect surgery on trigger thumb?

Possibly: Suggest you talk these details over specifically with your surgeon doing the procedure. You have a right to a full, open, frank discussion without hurry. ...Read more

21

21
What is scaphoid excision with 4 corner fusion?

See below: Remove scaphoid from wrist and then fuse 4 bones together to give stability to the wrist. ...Read more

22

22
May need excision of cecum. What does that entail?

May need excision of cecum.  What does that entail?

Laparoscopic surgery: Also, called minimally invasive surgery, usually three or four small incisions are made in the abdominal wall, about 1/4 to 1/2 inch in length. Then a small tube is inserted into each incision and the abdomen in inflated to allow space to see the inside of the abdomen with a camera, mounted on one of the tubes. The cecum is removed and intestine reconnected with specially designed staplers. ...Read more

23

23
What is the meaning of excision of right atreal mass?

What is the meaning of excision of right atreal mass?

See below: The atrium is one of the 4 chambers of the heart. You have 2 atria and 2 ventricles. The right atrium receives blood from the body that needs to be re-oxygenated by the lungs. It sounds like you have a mass there of some sort. Excision simply means surgical removal. So it seems that your surgeon will remove this mass in the right atrium surgically for pathological evaluation. ...Read more

24

24
Will the needle or i.V. Hurt during the loop electrosurgical excision procedure?

Will the needle or i.V. Hurt during the loop electrosurgical excision procedure?

Minimal: There is very little pain with a leep procedure. I do them in my office using a paracervical block which requires an injection on each side of the cervix. Most of my patients do not feel that injection. If I do the leep in the operating room, those patients have an I.V. Which does require a neele stick for its placement — still only a needle stick — minimal pain. ...Read more

25

25
Is it possible to have loop excision under general anaesethic rather than local?

Is it possible to have loop excision under general anaesethic rather than local?

Local Problem: That is up to your local providers and their team of anesthesiologists. We would not have that specific information here on health tap. ...Read more

26

26
Is it ok to remove the surgical dressing from an open acj excision after 6 days. Or should it be longer?

Ask your surgeon: For any surgery to have the optimal chance at healing, it is important to follow the postoperative instructions of your surgeon. This would include when to remove your dressing, so please check with your surgeon on their office if you have questions about your postoperative care. ...Read more

29

29
Hello, I had an classical hemmorhoidal excision op on 19.11.13(external). How long it takes till it's completlely healed?Still, have something there.

Hello, I had an classical hemmorhoidal excision op on 19.11.13(external). How long it takes till it's completlely healed?Still, have something there.

Healing: After hemorrhoid surgery can take many weeks. Each person heals differently. Sometimes there can be loose skin or a skin tag at the surgical site that may resolve slowly or need minor surgery to remove. See the surgeon for an exam to be sure you are healing properly. ...Read more

30

30
What is scar excision?

What is scar excision?

Scar excision: Scar excision would be cutting out the scar and resewing it up. Perhaps the scar spread or partially opened or got infected. By excising the scar it can be sewn up in a fine line. Sometimes the doctor may want to make the scar irregular or alter its direction. These are cosmetic techniques to improve the scars eventual appearance a scars appearance can also be improved with dermabrasion. ...Read more