Pisiform fracture: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "*Tintinalli" to "") |
Neil.m.young (talk | contribs) (Text replacement - "==Source==" to "==References== <references/>") |
||
| Line 19: | Line 19: | ||
[[Wrist Fracture]] | [[Wrist Fracture]] | ||
== | ==References== | ||
<references/> | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 19:04, 26 June 2016
Background
- Occurs via fall onto hypothenar eminence
- Must exclude injury to ulnar nerve/artery (pisiform forms bony wall of Guyon canal)
Clinical Features
- Localized tenderness on the pisiform itself
Imaging
- Obtain x-rays in partial supination or carpal tunnel view (removes overlap w/ triquetrum)
Differential Diagnosis
Carpal fractures
- Scaphoid fracture
- Lunate fracture
- Triquetrum fracture
- Pisiform fracture
- Trapezium fracture
- Trapezoid fracture
- Capitate fracture
- Hamate fracture
Management
- Compression dressing or forearm volar splint in 30 degrees of flexion w/ ulnar deviation