Pisiform fracture
Revision as of 13:03, 26 June 2016 by Neil.m.young (talk | contribs) (Text replacement - "*Tintinalli" to "")
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