Pisiform fracture

Case contributed by Dr Henry Knipe

Presentation

Fall with wrist pain.

Patient Data

Age: 60 years
Gender: Female
X-ray

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. 

CT

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. 

PlayAdd to Share

Case information

rID: 57078
Case created: 6th Dec 2017
Last edited: 7th Dec 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.