Pisiform fracture: Difference between revisions
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==Imaging== | ==Imaging== | ||
*Obtain x-rays in partial supination or carpal tunnel view (removes overlap w/ triquetrum) | *Obtain x-rays in partial supination or carpal tunnel view (removes overlap w/ triquetrum) | ||
==Differential Diagnosis== | |||
{{Carpal fractures}} | |||
==Management== | ==Management== | ||
Revision as of 22:39, 17 November 2014
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 w/ 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 splint in 30 degrees of flexion w/ ulnar deviation
Images
See Also
Source
- Tintinalli