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

## TL;DR

A rare case of a traumatic pisiform bone fracture following a bicycle fall is reported, highlighting the difficulty in diagnosing such injuries.

## Contribution

This case adds to the limited literature on pisiform fractures and emphasizes the importance of advanced imaging for accurate diagnosis.

## Key findings

- Pisiform fractures can be missed on conventional X-rays and require CT scans for detection.
- Conservative treatment with cast immobilization was effective for the reported 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.