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Isolated fracture of the pisiform is an extremely rare injury. Generally fractures of the pisiform are associated with fractures of other carpal bones or the distal radius. Fractures of the carpals and metacarpals account for roughly 6% of all fractures. The average incidence of pisiform fractures is 0.2% of all carpal fractures and approximately half of them are isolated fractures. Fracture of the pisiform may be missed on standard radiographs due to orientation of the fracture, improper wristdoi:10.4314/ijmu.v11i1.5 fatcat:wroiyakojzcllovizau5ji7iu4