Pisiform fracture

Case contributed by Dr Henry Knipe


Fall with wrist pain.

Patient Data

Age: 60 years
Gender: Female

Pisiform fracture is undisplaced. Tiny calcific foci at the tip of the ulnar styloid may represent acute avulsion fractures. Associated soft tissue swelling centred on the ulnar aspect of the wrist. 


There is a minimally displaced fracture of pisiform. Elsewhere no other acute fractures and no joint malalignment identified. A well corticated bony fragment at the dorsal aspect of the third carpometacarpal joint compatible with a carpal boss. 

Case Discussion

Fracture of the pisiform is one of the less common carpal fractures. The ulnar-sided wrist swelling is a helpful clue that there may be an injury to side of the wrist. 

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Case information

rID: 57078
Published: 7th Dec 2017
Last edited: 7th Dec 2017
Inclusion in quiz mode: Included

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