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Pisiform fractures are an uncommon fracture of the carpal bones.
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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.
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 immobilization in either a plaster cast or a wrist splint. In certain circumstances, placement of a pin-screw or excision is performed.
- 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