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Pisiform–Hamate Coalition With Entrapment Neuropathy of the Deep Palmar Branch of the Ulnar Nerve

Pisiform and hamate coalition, a rare congenital anomaly, is most often identified as an asymptomatic incidental finding on radiographs. Some patients have symptomatic coalition with ulnar-sided wrist pain or ulnar nerve neuropathy from ulnar nerve compression. Sports activities such as cycling and...

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Autores principales: Endo, Fumitaka, Tajika, Tsuyoshi, Kuboi, Takuro, Chikuda, Hirotaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991549/
https://www.ncbi.nlm.nih.gov/pubmed/35415513
http://dx.doi.org/10.1016/j.jhsg.2020.07.002
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author Endo, Fumitaka
Tajika, Tsuyoshi
Kuboi, Takuro
Chikuda, Hirotaka
author_facet Endo, Fumitaka
Tajika, Tsuyoshi
Kuboi, Takuro
Chikuda, Hirotaka
author_sort Endo, Fumitaka
collection PubMed
description Pisiform and hamate coalition, a rare congenital anomaly, is most often identified as an asymptomatic incidental finding on radiographs. Some patients have symptomatic coalition with ulnar-sided wrist pain or ulnar nerve neuropathy from ulnar nerve compression. Sports activities such as cycling and weight lifting can cause compression of the ulnar nerve in the hand. This report describes a case of a pisiform and hamate coalition in a 36-year-old man who reported decreased right-hand dexterity and right ulnar-sided wrist pain. The patient, an amateur weight lifter, developed right claw hand through repeated bench press training. Intraoperative findings revealed compression of the deep palmar branch of the ulnar nerve between the tendinous arch of the hypothenar muscles and pisiform and hamate coalition. Surgical resection of the tendinous arch and the enlarged hook of hamate relieved the claw hand deformity.
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spelling pubmed-89915492022-04-11 Pisiform–Hamate Coalition With Entrapment Neuropathy of the Deep Palmar Branch of the Ulnar Nerve Endo, Fumitaka Tajika, Tsuyoshi Kuboi, Takuro Chikuda, Hirotaka J Hand Surg Glob Online Case Report Pisiform and hamate coalition, a rare congenital anomaly, is most often identified as an asymptomatic incidental finding on radiographs. Some patients have symptomatic coalition with ulnar-sided wrist pain or ulnar nerve neuropathy from ulnar nerve compression. Sports activities such as cycling and weight lifting can cause compression of the ulnar nerve in the hand. This report describes a case of a pisiform and hamate coalition in a 36-year-old man who reported decreased right-hand dexterity and right ulnar-sided wrist pain. The patient, an amateur weight lifter, developed right claw hand through repeated bench press training. Intraoperative findings revealed compression of the deep palmar branch of the ulnar nerve between the tendinous arch of the hypothenar muscles and pisiform and hamate coalition. Surgical resection of the tendinous arch and the enlarged hook of hamate relieved the claw hand deformity. Elsevier 2020-08-04 /pmc/articles/PMC8991549/ /pubmed/35415513 http://dx.doi.org/10.1016/j.jhsg.2020.07.002 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Endo, Fumitaka
Tajika, Tsuyoshi
Kuboi, Takuro
Chikuda, Hirotaka
Pisiform–Hamate Coalition With Entrapment Neuropathy of the Deep Palmar Branch of the Ulnar Nerve
title Pisiform–Hamate Coalition With Entrapment Neuropathy of the Deep Palmar Branch of the Ulnar Nerve
title_full Pisiform–Hamate Coalition With Entrapment Neuropathy of the Deep Palmar Branch of the Ulnar Nerve
title_fullStr Pisiform–Hamate Coalition With Entrapment Neuropathy of the Deep Palmar Branch of the Ulnar Nerve
title_full_unstemmed Pisiform–Hamate Coalition With Entrapment Neuropathy of the Deep Palmar Branch of the Ulnar Nerve
title_short Pisiform–Hamate Coalition With Entrapment Neuropathy of the Deep Palmar Branch of the Ulnar Nerve
title_sort pisiform–hamate coalition with entrapment neuropathy of the deep palmar branch of the ulnar nerve
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991549/
https://www.ncbi.nlm.nih.gov/pubmed/35415513
http://dx.doi.org/10.1016/j.jhsg.2020.07.002
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