An isolated pisiform fracture: a case report

Authors

  • Gaurav P. Kalaria Department of Orthopaedics, B. J. Medical College, Gujarat, India
  • Padmanabh H. Vora Department of Orthopaedics, B. J. Medical College, Gujarat, India http://orcid.org/0000-0003-0268-9684
  • Rohan R. Memon Department of Orthopaedics, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20175667

Keywords:

Carpal bone fractures, Wrist fractures, Pisiform, Hand injuries

Abstract

With overall prevalence between 2% to 3%, carpal bone fractures are not encountered frequently in clinical practice. Amongst these, pisiform fractures have very low incidence of <0.2%, in which, more than half are associated with other carpal injuries, and sometimes ulnar styloid and ligamentous injuries. Thus, diagnosis of isolated pisiform fracture requires a very high index of suspicion. Hereby, authors report an isolated pisiform fracture in a 27 year old dentist who sustained an injury due to fall on outstretched hand. After radiographic confirmation in multiple views and CT scan, isolated-minimally displaced pisiform fracture was found. A below-elbow cast with slight palmar flexion was given for 4 weeks. He returned to normal pre-injury activities at 12 weeks.

Author Biography

Padmanabh H. Vora, Department of Orthopaedics, B. J. Medical College, Gujarat, India

Senior Resident.

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Published

2017-12-22