Pisiform fracture
Last revised by Rohit Sharma on 22 Mar 2024
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Sharma R, Collins E, et al. Pisiform fracture. Reference article, Radiopaedia.org (Accessed on 14 Oct 2024) https://doi.org/10.53347/rID-29357
Permalink:
rID:
29357
Article created:
18 May 2014,
Yuranga Weerakkody ◉
Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
22 Mar 2024,
Rohit Sharma ◉
Disclosures:
At the time the article was last revised Rohit Sharma had no financial relationships to ineligible companies to disclose.
View Rohit Sharma's current disclosures
Revisions:
28 times, by
17 contributors -
see full revision history and disclosures
Systems:
Synonyms:
- Fracture of pisiform
- Pisiform fractures
Pisiform fractures are an uncommon fracture of the carpal bones.
On this page:
Epidemiology
They are only thought to account for ~1-2% of all carpal fractures. Some older sources suggest that they are rarer than this but consensus seems to be that trapezoid fractures are the rarest 6.
Approximately 50% occur in association with other carpal fractures.
Very rarely the pisiform may be dislocated without fracture and displaced radially.
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 using 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 a pin-screw or excision is performed.
References
- 1. Jacobs LG. Isolated fracture of the pisiform bone; a case report. Radiology. 2008;50 (4): 529-31. Pubmed citation
- 2. Agathangelidis F, Boutsiadis A, Ditsios K. Open pisiform fracture: excision or internal fixation?. BMJ Case Rep. 2013;2013 (jan09 1): . doi:10.1136/bcr-2012-007621 - Pubmed citation
- 3. Mattelaer B, De Smet L. Bilateral pisiform fractures. J Hand Surg Eur Vol. 2010;35 (3): 242-3. doi:10.1177/1753193409357702 - Pubmed citation
- 4. Boyce SH, Harden JL. Pisiform fracture: an uncommon wrist injury. BMJ Case Rep. 2010;2010 (apr20 1): 2132. doi:10.1136/bcr.07.2009.2132 - Free text at pubmed - Pubmed citation
- 5. Fleege MA, Jebson PJ, Renfrew DL et-al. Pisiform fractures. Skeletal Radiol. 1991;20 (3): 169-72. Pubmed citation
- 6. Pan T, Lögters T, Windolf J, Kaufmann R. Uncommon Carpal Fractures. Eur J Trauma Emerg Surg. 2016;42(1):15-27. doi:10.1007/s00068-015-0618-5 - Pubmed
Incoming Links
Articles:
Cases:
- Pisiform fracture
- Isolated pisiform fracture
- Pisiform fracture
- Isolated pisiform bone fracture (MRI)
- Isolated pisiform fracture
- Isolated pisiform bone fracture - chronic (MRI)
- Scaphoid avascular necrosis with undisplaced pisiform fracture
- Pisiform fracture
- Pisiform fracture
- Pisiform fracture
- Pisiform fracture
- Pisiform fracture
- Pisiform fracture
- Isolated pisiform bone fracture (MRI)
- Pisiform fracture
Related articles: Fractures
-
fracture
- terminology
- fracture location
- diaphyseal fracture
- metaphyseal fracture
- physeal fracture
- epiphyseal fracture
- fracture types
- avulsion fracture
- articular surface injuries
- complete fracture
- incomplete fracture
- infraction
- compound fracture
- pathological fracture
- stress fracture
- fracture displacement
- fracture location
- fracture healing
- skull fractures
-
facial fractures
- fractures involving a single facial buttress
- alveolar process fractures
- frontal sinus fracture
- isolated zygomatic arch fractures
- mandibular fracture
- nasal bone fracture
- orbital blow-out fracture
- paranasal sinus fractures
- complex fractures
- dental fractures
- fractures involving a single facial buttress
-
spinal fractures
- classification (AO Spine classification systems)
-
cervical spine fracture classification systems
- AO classification of upper cervical injuries
- AO classification of subaxial injuries
- Anderson and D'Alonzo classification (odontoid fracture)
- Roy-Camille classification (odontoid process fracture)
- Gehweiler classifcation (atlas fractures)
- Levine and Edwards classification (hangman fracture)
- Allen and Ferguson classification (subaxial spine injuries)
- subaxial cervical spine injury classification (SLIC)
- thoracolumbar spinal fracture classification systems
- three column concept of spinal fractures (Denis classification)
- classification of sacral fractures
-
cervical spine fracture classification systems
- spinal fractures by region
- spinal fracture types
- classification (AO Spine classification systems)
- rib fractures
- sternal fractures
-
upper limb fractures
- classification
- Rockwood classification (acromioclavicular joint injury)
- AO classification (clavicle fracture)
- Neer classification (clavicle fracture)
- Neer classification (proximal humeral fracture)
- AO classification (proximal humeral fracture)
- AO/OTA classification of distal humeral fractures
- Milch classification (lateral humeral condyle fracture)
- Weiss classification (lateral humeral condyle fracture)
- Bado classification of Monteggia fracture-dislocations (radius-ulna)
- Mason classification (radial head fracture)
- Frykman classification (distal radial fracture)
- Mayo classification (scaphoid fracture)
- Hintermann classification (gamekeeper's thumb)
- Eaton classification (volar plate avulsion injury)
- Keifhaber-Stern classification (volar plate avulsion injury)
- upper limb fractures by region
- shoulder
- clavicular fracture
-
scapular fracture
- acromion fracture
- coracoid process fracture
- glenoid fracture
- humeral head fracture
- proximal humeral fracture
- humeral neck fracture
- arm
- elbow
- forearm
- wrist
-
carpal bones
- scaphoid fracture
- lunate fracture
- capitate fracture
- triquetral fracture
- pisiform fracture
- hamate fracture
- trapezoid fracture
- trapezium fracture
- hand
- shoulder
- classification
- lower limb fractures
- classification by region
- pelvic fractures
- hip fractures
- Pipkin classification (femoral head fracture)
- Garden classification (hip fracture)
- American Academy of Orthopaedic Surgeons classification (periprosthetic hip fracture)
- Cooke and Newman classification (periprosthetic hip fracture)
- Johansson classification (periprosthetic hip fracture)
- Vancouver classification (periprosthetic hip fracture)
- femoral
- knee
- Schatzker classification (tibial plateau fracture)
- AO classification of distal femur fractures
- Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture)
- tibia/fibula
- Watson-Jones classification (tibial tuberosity avulsion fracture)
- ankle
- foot
- Berndt and Harty classification (osteochondral lesions of the talus)
- Sanders CT classification (calcaneal fracture)
- Hawkins classification (talar neck fracture)
- Myerson classification (Lisfranc injury)
- Nunley-Vertullo classification (Lisfranc injury)
- pelvis and lower limb fractures by region
- pelvic fracture
- sacral fracture
- coccygeal fracture
-
hip
- acetabular fracture
- femoral head fracture
-
femoral neck fracture
- subcapital fracture
- transcervical fracture
- basicervical fracture
-
trochanteric fracture
- pertrochanteric fracture
- intertrochanteric fracture
- subtrochanteric fracture
- femur
- mid-shaft fracture
- bisphosphonate-related fracture
- distal femoral fracture
- knee
- avulsion fractures
- Segond fracture
- reverse Segond fracture
- anterior cruciate ligament avulsion fracture
- posterior cruciate ligament avulsion fracture
- arcuate complex avulsion fracture (arcuate sign)
- biceps femoris avulsion fracture
- iliotibial band avulsion fracture
- semimembranosus tendon avulsion fracture
- Stieda fracture (MCL avulsion fracture)
- patellar fracture
- tibial plateau fracture
- avulsion fractures
- leg
- tibial tuberosity avulsion fracture
- tibial shaft fracture
- fibular shaft fracture
- Maisonneuve fracture
- ankle
- foot
- tarsal bones
- metatarsal bones
- phalanges
- classification by region
- terminology
Related articles: Wrist pathology
- alignment
- wrist fractures and dislocations
- distal radial fracture
- paediatric
- carpal bones
- Mayfield classification of carpal instability
- carpal instability
- osteonecrosis
- triangular fibrocartilaginous complex (TFCC) injuries
- ulnar-sided wrist impaction and impingement syndromes
- soft tissue and tendons
- arthritides
Unable to process the form. Check for errors and try again.