Presentation
Hyperextension injury to right wrist playing rugby. Bony tenderness to distal radius and ulna with reduced range of movement.
Patient Data







Comminuted fracture of the pisiform bone with associated soft tissue swelling at the attachment of the flexor carpi ulnaris and abductor digiti minimi tendons. Fragments show minor displacement.
Case Discussion
Fracture of the pisiform bone is a rare type of carpal bone fracture accounting for 2% of all carpal bone fractures 1-3. In most cases, approximately half are associated with fractures of other carpal bones 2. Delay in diagnosis can lead to disabling consequences for patients, therefore early identification and management are key.