Abstract
Fractures of the pisiform are often missed due to improper radiographic evaluation and a tendency to focus on other, more obvious injuries. Delayed diagnosis may result in disabling sequelae. A high index of clinical suspicion and appropriate radiographic examination will establish the correct diagnosis. Ten patients with pisiform fracture are presented. The anatomy, mechanism of injury, clinical presentation, radiographic features, and evaluation of this injury are discussed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abbitt PL, Riddervold HO (1987) The carpal tunnel view: helpful adjuvant for unrecognized fractures of the carpus. Skeletal Radiol 16:45
Curtis DJ, Downey EF, Brower AC, Cruess DF, Herrington WT, Ghaed N (1984) Importance of soft-tissue evaluation in hand and wrist trauma: statistical evaluation. AJR 142:781
Failla JM, Amadio PC (1988) Recognition and treatment of uncommon carpal fractures. Hand Clinics 4:469
Hindman W, Kulik WJ, Lee G, Avolio RE (1989) Occult fractures of the carpals and metacarpals: demonstration by CT. AJR 153:529
Immerman W (1948) Dislocations of the pisiform. J Bone Joint Surg [Am] 30:489
Israeli A, Engel J, Ganel A (1982) Possible fatigue fracture of the pisiform. Int J Sports Med 3:56
Jacobs LG (1947) Isolated fracture of the pisiform bone. Radiology 50:529
Kohler A, Zimmer EA (1968) Borderlands of the normal and early pathologic in skeletal roentgenology, 3rd American edn. Grune and Stratton, New York, p 115
McCarthy V, Farber H (1946) Isolated fracture of the pisiform bone. J Bone Joint Surg 28:390
Palmieri TJ (1982) Pisiform area pain treatment by pisiform excision. J Hand Surg [Am] 7:477
Vasilas A, Grieco VR, Bartone NF (1960) Roentgen aspects of injuries to the pisiform bone and pisotriquetral joint. J Bone Joint Surg [Am] 42:1317
Zimmerman NB, Mass DP (1987) A pisiform fracture. Orthopedics 10:817