S62.161

Clinical Causes: Direct impact or trauma to the wrist, such as falling onto the hand or a direct blow during sports or accidents Falls with the wrist in a flexed or extended position Sports injuries involving contact or high-impact activities Repetitive stress or overuse, although less common for fractures Vehicular accidents or other high-force trauma

Key Symptoms: Pain in the wrist, especially around the ulnar side (little finger side) Swelling and tenderness over the pisiform area Limited or painful wrist movement Possible bruising on the wrist or hand A palpable deformity or bump may be felt if the fracture is displaced Weakness or difficulty gripping objects

Diagnosis Path: Diagnosis begins with a physical examination by a healthcare provider, who will check for tenderness, swelling, and range of motion. Imaging tests are essential to confirm the fracture and assess displacement. Typical procedures include: - X-ray images of the wrist from multiple angles to visualize the fracture - Additional imaging tests like MRI or CT scan if more detailed information is needed about the fracture or surrounding tissues Prompt identification helps determine the severity and guides treatment planning.

Treatment Protocols: Treatment of a displaced pisiform fracture aims to realign the broken bones and promote healing. Approaches include: - Immobilization: Using a cast or splint to keep the wrist stable during healing, typically for several weeks - Closed reduction: A procedure where the healthcare provider manually realigns the fracture without surgery, followed by immobilization - Surgery: In cases where closed reduction is unsuccessful or the fracture is significantly displaced, surgical fixation may be necessary. This may involve pins, screws, or other devices to secure the bones in proper position. - Pain management: Over-the-counter pain relievers or prescribed medications to alleviate discomfort - Rehabilitation: After immobilization or surgery, physical therapy may be recommended to restore movement, strength, and function of the wrist and hand Recovery depends on the severity of the fracture and adherence to the treatment plan, with healing typically taking several weeks to months.