An isolated pisiform fracture: a case report

<p class="abstract"><span lang="EN-IN">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.</span></p>

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Scaphoid Non-union Fracture of Both Wrists in a Young Elite Wrestler Without Significant Trauma: A Case Report

Case Reports in Clinical Practice ◽

10.18502/crcp.v5i3.4362 ◽

2020 ◽

Author(s):

Farzin Halabchi ◽

Zahra Tavakol ◽

Faezeh Maleklou

Keyword(s):

Case Report ◽

Avascular Necrosis ◽

Stress Fracture ◽

Bone Fractures ◽

Traumatic Events ◽

Carpal Bone ◽

Interesting Point ◽

Non Union ◽

Bilateral Involvement ◽

Carpal Bone Fractures

Special attention is needed to assess constant wrist pain to avoid missed carpal bone fractures after traumatic events. Also, the consideration of avascular necrosis of carpal bones such asscaphoid bone after a traumatic or stress fracture is crucial. We hereby report a young elite wrestler who has been complaining about pain in both wrists for about two years before hisvisit to our clinic. The interesting point about this athlete is bilateral involvement and that the second pathology was probably overuse without any trauma.

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Three Cases of Translunate Perilunate Injury Treated with Wrist Arthroscopy

Journal of Wrist Surgery ◽

10.1055/s-0040-1712518 ◽

2020 ◽

Author(s):

Esther C. S. Chow ◽

Pak C. Ho

Keyword(s):

Avascular Necrosis ◽

Bone Fractures ◽

Carpal Bone ◽

Wrist Arthroscopy ◽

Acute Fracture ◽

Feasible Option ◽

Carpal Bone Fractures ◽

High Index Of Suspicion ◽

Good Range

Abstract Background An acute fracture of the lunate is an uncommon injury with the reported incidence ranging from 0.5 to 1% of all carpal bone fractures. The combination of lunate fracture and perilunate injury is even rarer and Bain et al first introduced the “translunate arc concept” in 2008. We reported three cases of translunate perilunate injury treated with wrist arthroscopy. Materials and Methods All the three cases had been treated successfully with the use of wrist arthroscopy. A novel technique of arthroscopic reduction and fixation of a volar pole of lunate fracture was illustrated. The lunate fracture healed in all cases with normal carpal alignment. Results All patients achieved a painless and functional joint with good range of motion at an average follow-up of 15 months. There was no radiological evidence of avascular necrosis of the lunate in all three cases. Conclusion Translunate perilunate injury is rare and a high index of suspicion is necessary for diagnosis. There was no consensus on the surgical approach to this kind of injury. Wrist arthroscopy had proven to be successful in treating the greater and lesser arc perilunate injury. For translunate perilunate injury, wrist arthroscopy is also a feasible option with the advantages of lower risk of arthrofibrosis and avascular necrosis.

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Cone-beam computed tomography for primary investigation of wrist trauma provides a new map of fractures of carpal bones

Journal of Hand Surgery (European Volume) ◽

10.1177/17531934211001730 ◽

2021 ◽

pp. 175319342110017

Author(s):

Mamoun Krayem ◽

Claudia Weber Lensing ◽

Lotta Fornander

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Bone Fractures ◽

Primary Diagnosis ◽

Cone Beam ◽

Carpal Bone ◽

Level Of Evidence ◽

Wrist Trauma ◽

Carpal Bone Fractures ◽

Primary Modality

In 2016, our primary modality for radiological examination of wrist trauma, was changed from radiography to cone-beam computed tomography (CBCT). This is a retrospective survey of carpal bone fractures detected by CBCT during 6 months in 2016/2017, compared with those found on conventional radiographs during 6 months in 2013/2014. The incidence of carpal fractures was three times higher during the CBCT period (92/100,000 per year) compared with the radiography period (29/100,000 per year) and the spectrum of anatomical locations was different between the two periods, with fractures of the lunate ( n = 6), trapezium ( n = 9), trapezoid ( n = 4) and capitate ( n = 1) detected by CBCT, in contrast to no fractures of these bones diagnosed during the 6 months radiography period. We suggest a more liberal use of CBCT for examination of wrist trauma considering the benefits of being able to give patients a correct primary diagnosis, treatment and prognosis. Level of evidence: III

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Treatment of Acute Carpal Bone Fractures

Current Sports Medicine Reports ◽

10.1249/jsr.0000000000000412 ◽

2017 ◽

Vol 16 (5) ◽

pp. 330-335 ◽

Cited By ~ 1

Author(s):

Chad Hulsopple ◽

Jesse Deluca ◽

Christopher Jonas

Keyword(s):

Bone Fractures ◽

Carpal Bone ◽

Carpal Bone Fractures

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Radial carpal bone fractures in 15 dogs

Journal of Small Animal Practice ◽

10.1111/j.1748-5827.2000.tb03167.x ◽

2000 ◽

Vol 41 (2) ◽

pp. 74-79 ◽

Cited By ~ 14

Author(s):

A. Li ◽

D. Bennett ◽

C. Gibbs ◽

S. Carmichael ◽

N. Gibson ◽

...

Keyword(s):

Bone Fractures ◽

Carpal Bone ◽

Carpal Bone Fractures

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Carpal bone fractures

10.53347/rid-55663 ◽

2017 ◽

Author(s):

Daniel Bell ◽

Yuranga Weerakkody

Keyword(s):

Bone Fractures ◽

Carpal Bone ◽

Carpal Bone Fractures

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Characteristics of Accessory Carpal Bone Fractures in 50 Racing Greyhounds

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633173 ◽

1988 ◽

Vol 01 (02) ◽

pp. 104-107 ◽

Cited By ~ 2

Author(s):

D. L. Piermattei ◽

Ph. E. Davis ◽

Ch. R. Bellenger ◽

K. A. Johnson

Keyword(s):

Bone Fractures ◽

Carpal Bone ◽

Teaching Hospitals ◽

State University ◽

Anatomical Distribution ◽

Colorado State University ◽

Counterclockwise Direction ◽

Carpal Bone Fractures ◽

Fracture Types ◽

The University

Fifty racing greyhounds with fracture of the accessory carpal bone presented to the Veterinary Teaching Hospitals at The University of Sydney (n = 35) and Colorado State University (n = 15) were reviewed for the purpose of identifying the frequency of the various fracture types, and to suggest possible factors which predispose to the injuries. All but three fractures occurred while the dogs were racing. All dogs raced on elliptical tracks in a counterclockwise direction, and this was implicated in the pathogenesis and anatomical distribution of these fractures.

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