Pisiform fracture
Revisión del 18:06 12 jul 2016 de Neil.m.young (discusión | contribs.) (Text replacement - " w/ " to " with ")
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