Ver el código de «Pisiform fracture»

==Background==
*Occurs via fall onto hypothenar eminence
*Forced wrist flexion or strain from lifting heavy objects can avulse the pisiform<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
*Must exclude injury to ulnar nerve/artery (pisiform forms bony wall of Guyon's canal)

==Clinical Features==
*Localized tenderness on the pisiform itself, especially if with resisted wrist flexion<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>

==Differential Diagnosis==
{{Carpal fractures}}

==Evaluation==
*Obtain x-rays in partial supination or carpal tunnel view (removes overlap with triquetrum)

[[File:Pisiform_Fracture.jpg|thumb|Pisiform fracture]]

==Management==
*Compression dressing or [[forearm volar splint]] in 30 degrees of flexion with ulnar deviation

==Disposition==
*Discharge with referral to orthopedic surgery

==See Also==
*[[Carpal fractures]]

==References==
<references/>

[[Category:Orthopedics]]