What question did this study set out to answer?

To highlight the challenges in diagnosing a pisiform fracture after trauma and to discuss treatment options.

February 19, 2026Open Access

Worth a Second Look: Report of a Rare Traumatic Pisiform Fracture Following a Bicycle Fall

Key Points

To highlight the challenges in diagnosing a pisiform fracture after trauma and to discuss treatment options.
Case presentation of a 29-year-old patient with a pisiform fracture following a bicycle fall.
Initial conventional X-ray images showed no fracture evidence.
Fracture was identified through a CT scan after prolonged symptoms.
Treatment involved 4 weeks of cast immobilization.
The CT scan successfully identified the previously undiagnosed pisiform fracture.
The patient experienced prolonged symptoms prior to the diagnosis.
Cast immobilization effectively treated the fracture.

Abstract

Fractures of the pisiform bone are difficult to diagnose due to the often unsuspicious conventional X‐ray images and nonspecific clinical presentation. The following case presents a 29‐year‐old patient who suffered a bicycle fall onto their right hand and experienced prolonged symptoms despite the initial lack of evidence of a fracture. The fractured pisiform bone, which was eventually detected in a CT scan, was successfully treated with a 4‐week period of cast immobilization. The existing conservative and surgical treatment options of a pisiform bone fracture are discussed.

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Discussion

Authors

Yannic-Tomas Abulesz

Franz Kralinger

Journals

Case Reports in Orthopedics

Actions

Institutions

Medical University of Vienna

Wiener Krankenanstaltenverbund

References and Citations

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Building similarity graph...

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Worth a Second Look: Report of a Rare Traumatic Pisiform Fracture Following a Bicycle Fall

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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