An uncommon case of traumatic pisiform dislocation with triquetral fracture

Authors

  • Parveen Sulthana Mohamed Ali CHANGI GENERAL HOSPITAL
  • Lee Yunyu Justine CHANGI GENERAL HOSPITAL
  • Tien Jin Tan CHANGI GENERAL HOSPITAL
  • Joe Francis CHANGI GENERAL HOSPITAL

DOI:

https://doi.org/10.3941/jrcr.v16i4.4474

Keywords:

Pisiform, triquetrum, fracture, dislocation, excision

Abstract

The pisiform is a sesamoid bone that acts as one of the key medial stabilizers of the wrist. We present a case of a 35-year-old gentleman who presented with medial wrist pain following a fall while rollerblading. Radiographs and Magnetic resonance imaging (MRI) revealed a rare combination of an acute pisiform dislocation with associated triquetral fracture. Subsequently, he was successfully treated with excision of the pisiform. Pisiform dislocation is an uncommon injury and can easily be missed in an acute emergency presentation. Therefore, it is important to be aware of the characteristic imaging appearance to avoid a delay in diagnosis and treatment.

Author Biographies

Parveen Sulthana Mohamed Ali, CHANGI GENERAL HOSPITAL

Staff Registrar, Department of Diagnostic Radiology

Lee Yunyu Justine, CHANGI GENERAL HOSPITAL

Consultant, Department of Orthopedic Surgery

Tien Jin Tan, CHANGI GENERAL HOSPITAL

Senior Consultant, Department of Diagnostic Radiology

Joe Francis, CHANGI GENERAL HOSPITAL

Consultant, Department of Diagnostic Radiology

Published

2022-04-30

Issue

Section

Musculoskeletal Radiology