Pisiform fracture

Case contributed by Garth Kruger
Diagnosis almost certain

Presentation

Young ice hockey player is shunted "into the boards"

Patient Data

Age: 30 years
Gender: Male
x-ray

Note the subtle lucency on the AP view of the wrist (annotated).

A common complaint for skeletal trauma in Canada: shunted into the boards.

Nuclear medicine

Isotope uptake in the fracture.

Case Discussion

A diagnosis usually made with hindsight/the retrospectoscope. A high index of suspicion helps.

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