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A pisiformectomy is a surgical procedure that involves the removal of the pisiform bone, one of the small carpal bones in the wrist. This procedure is typically performed to relieve pain and improve function in cases where conservative treatments have failed1. Indications Pisotriquetral Joint Arthritis: Persistent pain and dysfunction in the pisotriquetral joint. Pisiform Fractures: Non-healing or painful fractures of the pisiform bone. Ulnar Nerve Compression: Symptoms of ulnar nerve compression that do not respond to other treatments. Procedure Anesthesia: The surgery is usually performed under regional anesthesia (arm numb) or general anesthesia. Incision: A small incision is made over the heel of the hand. Removal: The pisiform bone is carefully removed. Closure: The incision is closed with sutures, and a bulky padded dressing is applied. Recovery Immediate Post-Op: Hand elevation is important to prevent swelling and stiffness. Two Weeks Post-Op: Stitches dissolve, and the dressing is removed. Six Months: Full recovery may take up to six months, with gradual return to normal activities. Risks and Complications Swelling and Bruising: Common post-operative symptoms. Infection: Redness or tenderness around the wound may indicate infection. Ulnar Nerve Symptoms: Some patients may experience temporary ulnar nerve symptoms. Decreased Grip Strength: May occur but usually improves over time. Would you like more details on the recovery process or potential complications? #Pisiformectomy