{"title":"有症状的蝶骨和锤骨先天性结合--病例报告。","authors":"Sitthiphong Suwannaphisit, Akio Iida, Kenji Kawamura, Shohei Omokawa","doi":"10.1142/S2424835524720147","DOIUrl":null,"url":null,"abstract":"<p><p>We describe a 13-year-old boy with piso-hamate coalition confirmed by X-ray. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed type 1 coalition according to the classification of DeVilliers Minnaar. Piso-hamate coalition is rare, and suspicions should be raised in instances of chronic ulnar-sided wrist pain, particularly in individuals with a history of elevated hand usage, especially amongst athletes engaging in intensive hand grip activities. Surgical resection of the synchondrosis site between the pisiform and the hamate is an efficacious intervention that can mitigate pain. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Symptomatic Congenital Coalition of the Pisiform and Hamate - A Case Report.\",\"authors\":\"Sitthiphong Suwannaphisit, Akio Iida, Kenji Kawamura, Shohei Omokawa\",\"doi\":\"10.1142/S2424835524720147\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>We describe a 13-year-old boy with piso-hamate coalition confirmed by X-ray. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed type 1 coalition according to the classification of DeVilliers Minnaar. Piso-hamate coalition is rare, and suspicions should be raised in instances of chronic ulnar-sided wrist pain, particularly in individuals with a history of elevated hand usage, especially amongst athletes engaging in intensive hand grip activities. Surgical resection of the synchondrosis site between the pisiform and the hamate is an efficacious intervention that can mitigate pain. <b>Level of Evidence:</b> Level V (Therapeutic).</p>\",\"PeriodicalId\":51689,\"journal\":{\"name\":\"Journal of Hand Surgery-Asian-Pacific Volume\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hand Surgery-Asian-Pacific Volume\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1142/S2424835524720147\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/8/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hand Surgery-Asian-Pacific Volume","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1142/S2424835524720147","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/30 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
我们描述了一名经 X 光检查确诊患有对跖联合的 13 岁男孩。计算机断层扫描（CT）和磁共振成像（MRI）显示，根据 DeVilliers Minnaar 的分类，该患者属于 1 型联盟。腕关节滑膜联合症非常罕见，如果出现慢性尺侧腕关节疼痛，尤其是有手部高负荷使用史的患者，特别是从事高强度手部握力活动的运动员，则应提高警惕。手术切除蝶骨和锤骨之间的关节突部位是一种有效的干预措施，可减轻疼痛。证据等级：五级（治疗）。
Symptomatic Congenital Coalition of the Pisiform and Hamate - A Case Report.
We describe a 13-year-old boy with piso-hamate coalition confirmed by X-ray. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed type 1 coalition according to the classification of DeVilliers Minnaar. Piso-hamate coalition is rare, and suspicions should be raised in instances of chronic ulnar-sided wrist pain, particularly in individuals with a history of elevated hand usage, especially amongst athletes engaging in intensive hand grip activities. Surgical resection of the synchondrosis site between the pisiform and the hamate is an efficacious intervention that can mitigate pain. Level of Evidence: Level V (Therapeutic).
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