Ongoing wrist pain especially when typing. History of trauma 3 weeks earlier. Initial radiographs did not show acute abnormality.
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AP and lateral view demonstrated no acute abnormality.
Additional lateral 30 degree angled view was requested given patient's symptoms which demonstrated fracture of the pisiform bone. No other fracture was identified.
Pisiform fractures are not commonly seen. If clinical suspicion warrants, additional views can be performed to help with visualization of the pisiform.