S62.16

Clinical Causes: Direct trauma or impact to the wrist, such as a fall or blow during sports or accidents. Forced wrist hyperextension or twisting motions, often seen in contact sports. Overuse or repetitive stress on the wrist, which may lead to stress fractures in some cases. Landing heavily on an outstretched hand, particularly in falls.

Key Symptoms: Pain localized on the pinky side of the wrist, especially at the base of the palm. Swelling around the wrist area, which may increase with movement. tenderness when touching or pressing on the wrist. Limited range of motion, especially when trying to grip or rotate the wrist. Possible bruising or discoloration around the affected area. Difficulty performing daily activities due to pain and stiffness.

Diagnosis Path: Diagnosing a pisiform fracture involves a clinical examination and imaging studies. The doctor will check for signs of tenderness, swelling, and range of motion limitations. Imaging tests such as X-rays are typically used to confirm the fracture. In some cases, additional imaging, like MRI or CT scans, may be needed to assess the extent of the injury and rule out other wrist injuries or conditions.

Treatment Protocols: Treatment strategies depend on the severity of the fracture. Options include: - Rest and immobilization: Using a cast, splint, or wrist brace to keep the bone in place and enable healing. - Pain management: Taking over-the-counter pain relievers, such as acetaminophen or NSAIDs, to reduce discomfort. - Activity modification: Avoiding activities that may strain or worsen the injury. - Surgical intervention: In cases where the fracture is displaced or unstable, surgery may be necessary to realign and stabilize the bone with pins, screws, or other hardware. Recovery time varies but usually involves several weeks of immobilization followed by rehabilitative exercises to restore strength and mobility.