Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Hand & Upper Limb
intermediate
X-Type

Pisiform Fractures - FCU Attachment, Carpal Tunnel View and Management

Carpal Fractures

A 35-year-old man presents after falling onto his outstretched hand while cycling. He reports pain localized to the volar-ulnar aspect of his wrist. Examination reveals tenderness directly over the pisiform with pain on resisted wrist flexion and ulnar deviation. Standard PA and lateral wrist radiographs appear normal. Regarding the anatomy and imaging of the pisiform:

Mark each as TRUE or FALSE

A

The pisiform is a SESAMOID BONE located within the tendon of FLEXOR CARPI ULNARIS (FCU); it articula...

B

The CARPAL TUNNEL VIEW (tangential or axial view) is the optimal radiographic projection for visuali...

C

The pisiform is the largest carpal bone and forms the radial border of Guyon's canal; it articulates...

D

The pisiform forms the ULNAR BORDER of GUYON'S CANAL (ulnar tunnel) with the hook of hamate forming ...

E

The pisiform has important ligamentous attachments including the pisometacarpal ligament (to 5th met...

Answer the questions to see explanations

Click T (True) or F (False) for each option