An isolated pisiform fracture: a case report


  • Gaurav P. Kalaria Department of Orthopaedics, B. J. Medical College, Gujarat, India
  • Padmanabh H. Vora Department of Orthopaedics, B. J. Medical College, Gujarat, India
  • Rohan R. Memon Department of Orthopaedics, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India



Carpal bone fractures, Wrist fractures, Pisiform, Hand injuries


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.


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.