Pisiform fracture

Pisiform fractures are uncommon type of fracture involving the carpal bones.


They are only thought to account ~0.2% of all carpal fractures. Approximately 50% occur in association with other carpal fractures.

Radiographic features

Plain radiograph

Some can be occult on plain film. The pisotriquetral joint is best seen in the lateral view with 30 degrees supination or utilising the carpal tunnel view.

Treatment and prognosis

They are usually managed by immobilisation in either a plaster cast or a wrist splint. In certain circumstances placement of pin-screw or excision is performed.

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Article information

rID: 29357
Section: Gamuts
Synonyms or Alternate Spellings:
  • Pisiform fractures
  • Fracture of pisiform

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