Yes, I am close to NYC - I live in Northern NJ. I am going to a hand surgeon in Englewood and she does have experience with Kienbock's (luckily for me) She actually "fixed" my fusion to some degree. The first surgeon I had did what I consider to be a failed surgery but the doctor I am seeing currently removed the plate that was too big for my wrist, fixed an impacted ulna bone and also removed bone chips. Unfortunately, it seems that the problem with my pisiform started exactly at the same time I started having more problems and pain from KD, so it was pretty much the feeling that the pain I was experiencing was from overcompensating for my right wrist. It seems like when it flares up that my bone is on fire - that's really the only way I can describe it. There is a history of osteoarthritis in my family - it pretty much goes back as far as I can trace my family tree, so I'm assuming that it's arthritis that is causing the pain. I did have an MRI a year ago and was told at that time that I had ganglion cysts in that wrist but from what both doctors have told me - they shouldn't be causing the pain that I'm experiencing. The burning sensation is very similar to the pain that KD causes as well but I've been assured that I don't have bilateral KD (which I consider to be a real good thing!).
Any advice or suggestions you might have - or even doctor recommendations (doesn't hurt to get a 2nd opinion) is welcome.
Good luck with the pisiform removal. I had mine done in September and on my left wrist in October. Once the bone was removed on my right wrist (which is fused) the pain was gone immediately. My left wrist is taking longer to heal, probably because it wasn't immobilized after the surgery (I did have a splint, but it wasn't casted after that). I did not lose any mobility in my left wrist and you can't even tell it's gone other than the scar which isn't too bad. The shape of my hand hasn't changed. You wouldn't know it unless I turn it palm side up and then you would see the scar.
Did you have Kienbock's disease (avascular necrosis of the lunate bone)? From the surgeries you described it sounds like you've been treated for it. i.e. shortening of the ulna, etc.
If I can answer any questions on the pisiform removal or Kienbock's, let me know.
Hope this helped.
Thanks for the info. I think the doc. said pisiform arthirtis. This all statred with cracking my wrist at work.I hope I also don't lose any mobility. I will let you know more when I can type, cause it is my primary hand. And by the way I am not a good speller.
Don't worry about the spelling! You should see my handwriting - it looks like a doctor's!!
Anyway, good luck with your surgery. I hope all goes well for you.
While you're there, you might want to ask the dr. about kienbock's or avascular necosis of the lunate because it can be caused by an injury. The lunate bone shows up white on an x-ray and black on an MRI. It's caused by lack of blood supply to the bone.
Post when you can and just remember to ice and elevate after the surgery. It will definitely help.