Pisiform fracture - Revision history

Masoodrm: /* Evaluation */

2022-04-30T15:37:42Z

Evaluation

← Older revision		Revision as of 15:37, 30 April 2022
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	==Evaluation==		==Evaluation==
	*Obtain x-rays in partial supination or carpal tunnel view (removes overlap with triquetrum)		*Obtain x-rays in partial supination or carpal tunnel view (removes overlap with triquetrum)
			*May require CT for confirmation

	[[File:Pisiform_Fracture.jpg\|thumb\|Pisiform fracture]]		[[File:Pisiform_Fracture.jpg\|thumb\|Pisiform fracture]]

Rossdonaldson1: /* Management */

2019-09-18T04:47:39Z

Management

← Older revision		Revision as of 04:47, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Immobilization===
	*Compression dressing or [[forearm volar splint]] in 30 degrees of flexion with ulnar deviation		*Compression dressing or [[forearm volar splint]] in 30 degrees of flexion with ulnar deviation

Mholtz at 20:39, 4 July 2017

2017-07-04T20:39:22Z

← Older revision		Revision as of 20:39, 4 July 2017
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	==Background==		==Background==
	*Occurs via fall onto hypothenar eminence		*Occurs via fall onto hypothenar eminence
	**Forced wrist flexion or strain from lifting heavy objects can avulse the pisiform<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>		*Forced wrist flexion or strain from lifting heavy objects can avulse the pisiform<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	*Must exclude injury to ulnar nerve/artery (pisiform forms bony wall of Guyon's canal)		*Must exclude injury to ulnar nerve/artery (pisiform forms bony wall of Guyon's canal)

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	==Evaluation==		==Evaluation==
			*Obtain x-rays in partial supination or carpal tunnel view (removes overlap with triquetrum)

	[[File:Pisiform_Fracture.jpg\|thumb\|Pisiform fracture]]		[[File:Pisiform_Fracture.jpg\|thumb\|Pisiform fracture]]
	*Obtain x-rays in partial supination or carpal tunnel view (removes overlap with triquetrum)

	==Management==		==Management==
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	==Disposition==		==Disposition==
	*~~Outpatient~~		*Discharge with referral to orthopedic surgery

	==See Also==		==See Also==
	[[~~Wrist Fracture~~]]		*[[Carpal fractures]]

	==References==		==References==

Rossdonaldson1 at 11:50, 16 October 2016

2016-10-16T11:50:19Z

← Older revision		Revision as of 11:50, 16 October 2016
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	==Background==		==Background==
	*Occurs via fall onto hypothenar eminence		*Occurs via fall onto hypothenar eminence
	**Forced wrist flexion or strain from lifting heavy objects can avulse the pisiform		**Forced wrist flexion or strain from lifting heavy objects can avulse the pisiform<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	*Must exclude injury to ulnar nerve/artery (pisiform forms bony wall of Guyon's canal)		*Must exclude injury to ulnar nerve/artery (pisiform forms bony wall of Guyon's canal)

	==Clinical Features==		==Clinical Features==
	*Localized tenderness on the pisiform itself, especially if with resisted wrist flexion		*Localized tenderness on the pisiform itself, especially if with resisted wrist flexion<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>

	=~~=Imaging==~~
	*Obtain x-rays in partial supination or carpal tunnel view (removes overlap with triquetrum)
	~~[[File~~:~~Pisiform_Fracture~~.~~jpg\|thumb\|Pisiform fracture]]~~

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Carpal fractures}}		{{Carpal fractures}}

			==Evaluation==
			[[File:Pisiform_Fracture.jpg\|thumb\|Pisiform fracture]]
			*Obtain x-rays in partial supination or carpal tunnel view (removes overlap with triquetrum)

	==Management==		==Management==
	*Compression dressing or [[forearm volar splint]] in 30 degrees of flexion with ulnar deviation		*Compression dressing or [[forearm volar splint]] in 30 degrees of flexion with ulnar deviation

			==Disposition==
			*Outpatient

	==See Also==		==See Also==
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	==References==		==References==
	<references/>		<references/>
	*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Ted Fan: filled out more background/clinical feat

2016-10-11T00:11:40Z

filled out more background/clinical feat

← Older revision		Revision as of 00:11, 11 October 2016
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	==Background==		==Background==
	*Occurs via fall onto hypothenar eminence		*Occurs via fall onto hypothenar eminence
	*Must exclude injury to ulnar nerve/artery (pisiform forms bony wall of Guyon canal)		**Forced wrist flexion or strain from lifting heavy objects can avulse the pisiform
			*Must exclude injury to ulnar nerve/artery (pisiform forms bony wall of Guyon's canal)

	==Clinical Features==		==Clinical Features==
	*Localized tenderness on the pisiform itself		*Localized tenderness on the pisiform itself, especially if with resisted wrist flexion

	==Imaging==		==Imaging==
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	==References==		==References==
	<references/>		<references/>
			*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Neil.m.young: Text replacement - " w/ " to " with "

2016-07-12T18:06:44Z

Text replacement - " w/ " to " with "

← Older revision		Revision as of 18:06, 12 July 2016
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	==Imaging==		==Imaging==
	*Obtain x-rays in partial supination or carpal tunnel view (removes overlap w/ triquetrum)		*Obtain x-rays in partial supination or carpal tunnel view (removes overlap with triquetrum)
	[[File:Pisiform_Fracture.jpg\|thumb\|Pisiform fracture]]		[[File:Pisiform_Fracture.jpg\|thumb\|Pisiform fracture]]

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	==Management==		==Management==
	*Compression dressing or [[forearm volar splint]] in 30 degrees of flexion w/ ulnar deviation		*Compression dressing or [[forearm volar splint]] in 30 degrees of flexion with ulnar deviation

	==See Also==		==See Also==

Neil.m.young: Text replacement - "==Source==" to "==References== "

2016-06-26T19:04:53Z

Text replacement - "==Source==" to "==References== <references/>"

← Older revision		Revision as of 19:04, 26 June 2016
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	[[Wrist Fracture]]		[[Wrist Fracture]]

	==~~Source~~==		==References==
			<references/>


	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Neil.m.young: Text replacement - "*Tintinalli" to ""

2016-06-26T13:03:34Z

Text replacement - "*Tintinalli" to ""

← Older revision		Revision as of 13:03, 26 June 2016
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	==Source==		==Source==
	*Tintinalli

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:48:21Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

← Older revision		Revision as of 15:48, 22 March 2016
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	*Tintinalli		*Tintinalli

	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]

Snyderjonathan: /* Management */

2015-11-06T13:03:02Z

Management

← Older revision		Revision as of 13:03, 6 November 2015
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	==Management==		==Management==
	*Compression dressing or [[~~Forearm~~ volar splint]] in 30 degrees of flexion w/ ulnar deviation		*Compression dressing or [[forearm volar splint]] in 30 degrees of flexion w/ ulnar deviation

	==See Also==		==See Also==