A pisiform fracture is typically treated with immobilization. This often involves wearing a short arm cast for four to six weeks, allowing the bone to heal while keeping the wrist stable. If swelling is present, a splint may be used initially before transitioning to a cast.
When is Surgery Needed?
Surgery might be necessary for fractures that are displaced, comminuted, or not healing properly. Surgical intervention can help restore function and relieve symptoms, particularly if there is nerve involvement or severe pain.
Rehabilitation and Recovery
After cast removal, rehabilitation exercises are crucial for regaining wrist strength and mobility. These exercises may be done at home or with a physical therapist, focusing on gradual strengthening and stretching to restore full function.
Frequently Asked Questions
It is typically treated with immobilization using a cast.
Surgery is considered for fractures that are displaced or not healing well.
Rehabilitation helps restore wrist strength and mobility after immobilization.
Path to Recovery
With proper treatment and rehabilitation, most pisiform fractures heal without complications.
Urch EY, Lee SK. Carpal fractures other than scaphoid. Clin Sports Med 2015; 34:51.
Sawardeker PJ, Baratz ME. Carpal injuries. In: DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice, 4th ed, Miller MD, Thompson SR (Eds), Saunders Elsevier, Philadelphia 2015. p.850.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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