Saglam, F.Dagtas, M.Z.Sa?lam, S.Baysal, O.2024-07-122024-07-1220192160-325110.2106/JBJS.CC.18.002782-s2.0-85077223895https://doi.org/10.2106/JBJS.CC.18.00278https://hdl.handle.net/20.500.12415/7107Case:A 32-year-old man presented to the emergency department with several carpal bone fractures and a locked distal pisiform dislocation after trauma. Treatment consisted of open surgical and reduction, osteosynthesis with a single Kirschner wire, and ligament repair. The patient's functional outcome was excellent, and his Mayo wrist score was 90 at 36 months after injury.Conclusions:Pisiform dislocations may be difficult to diagnose because anteroposterior and lateral radiographs may not be sufficient to visualize the injury. A 30° semisupinated wrist X-ray and computed tomography can be helpful. A satisfactory clinical result may be achieved if distal pisiform dislocations are detected early and managed surgically with open reduction and ligament repair. © 2019 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED.eninfo:eu-repo/semantics/closedAccessAdultArticleCapitate FractureCase ReportCast ApplicationCast RemovalClinical ArticleClosed Luxation ReductionComputer Assisted TomographyFracture HealingHamate FractureHumanJoint LimitationJoint SwellingLigament SurgeryLocked Traumatic Pisiform DislocationMaleOpen Luxation ReductionOpen SurgeryOsteosynthesisPhysiotherapyRadial Styloid ProcessRange Of MotionScaphoid FractureTraffic AccidentTreatment OutcomeTriquetrum FractureWrist DislocationWrist FractureWrist PainWrist RadiographyBone WireCarpal BoneInjuryJoint DislocationPisiform BoneProceduresWristWrist InjuryAdultBone WiresCarpal BonesFracture Fixation, InternalHumansJoint DislocationsMalePisiform BoneWrist InjuriesWrist JointArticle431770115Q39