S62.165

Clinical Causes: Direct trauma or impact to the wrist, such as falling onto an outstretched hand Sports injuries involving sudden twisting or direct blows to the wrist Accidental falls that directly hit the wrist area Repetitive stress or overuse of the wrist in certain activities

Key Symptoms: Localized pain on the ulnar side of the wrist Swelling surrounding the pisiform area Tenderness to touch over the affected bone Limited range of wrist movement Possible bruising or discoloration near the injury site

Diagnosis Path: Diagnosing a nondisplaced pisiform fracture typically involves a clinical examination by a healthcare professional, who will assess for tenderness, swelling, and functionality of the wrist. Imaging tests are crucial, with X-rays being the first-line diagnostic tool. In some cases, specialized imaging like MRI or CT scans may be used if the fracture is subtle or difficult to visualize on standard X-rays.

Treatment Protocols: Management of a nondisplaced pisiform fracture generally aims to relieve pain and promote healing. Treatment options include: - **Immobilization:** Using a cast or splint to keep the wrist and hand still, allowing the bone to heal without displacement. - **Rest:** Avoiding activities that put stress on the wrist during recovery. - **Pain management:** Using over-the-counter pain relievers as directed to manage discomfort. - **Follow-up imaging:** Regular assessments to monitor healing progress. In cases where conservative treatment is effective, surgery is typically not required. However, if the fracture is displaced or associated with other injuries, surgical intervention may be necessary to realign the bones and stabilize the wrist. Rehabilitation post-healing may include physical therapy to restore strength and range of motion, ensuring a full recovery and return to normal activities.