Pisiform fracture

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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)

Management

  • Compression dressing or splint in 30 degrees of flexion w/ ulnar deviation

Images

Pisiform Fracture.jpg

Source

  • Tintinalli
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