An isolated pisiform fracture: a case report

Gaurav P. Kalaria, Padmanabh H. Vora, Rohan R. Memon


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.


Carpal bone fractures, Wrist fractures, Pisiform, Hand injuries

Full Text:



Hey HW, Dennis HH, Chong AK, Sze AC, Murphy D. Prevalence of carpal fracture in Singapore. J Hand Surg Am. 2011;36(2):278-83.

Jacobs LG. Isolated fracture of the pisiform bone; a case report. Radiology. 1948;50(4):529-31.

Kjosness KM, Hines JE, Lovejoy CO, Reno PL. The pisiform growth plate is lost in humans and supports a role for Hox in growth plate formation. J Anat. 2014;225(5):527-38.

McCarty V, Farber H. Isolated Fracture of the Pisiform Bone: Report of a Case. J Bone Surg Am. 1946;28:390-1.

Israeli A, Engel J, Ganel A. Possible fatigue fracture of the pisiform bone in volleyball players. Int J Sports Med. 1982;3(1):56-7.

Vasilas A, Grieco VR, Bartone NF. Roentgen aspects of injuries to the pisiform bone and pisotriquetral joint. J Bone Joint Surg Am. 1960;42:1317-28.

Palmieri TJ. Pisiform area pain treatment by pisiform excision. J Hand Surg Am. 1982;7(5):477-80.