Pisiform fracture: Difference between revisions
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==Imaging== | ==Imaging== | ||
*Obtain x-rays in partial supination or carpal tunnel view (removes overlap | *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 | *Compression dressing or [[forearm volar splint]] in 30 degrees of flexion with ulnar deviation | ||
==See Also== | ==See Also== | ||
Revision as of 18:06, 12 July 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 with 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 with ulnar deviation