Stress Injury To Pisiform Bone Ganesh Singh Dharmshaktu et al Int j clin surg adv 2014; 2(4):22-25 22 STRESS INJURY TO PISIFORM BONE – FLUOROSCOPIC PROBE TENDERNESS AS DIAGNOSTIC TOOL Ganesh Singh Dharmshaktu 1 , Irfan Khan 1. Assistant Professor, Department of Orthopaedics, Government Medical College , Haldwani (Uttarakhand,India) 2 2. Senior Resident , Department of Orthopaedics, Government Medical College , Haldwani (Uttarakhand ,India) ABSTRACT The overuse injuries are a product of repetitive stresses over body tissues. These are common in outdoor sports arena and their incidence is increasing due to more participation in sports and other recreational activities. Indoor activities like playing musical instruments that require repetitive joint movements has potential for tendinopathy or arthropathies due to cyclic physiological loading. There is sometimes rare occurrence of stress fractures of underlying bones that requires high index of suspicion and judicious use of imaging techniques. Key words: Stress Fracture, Pisiform , Injury, Carpal Bones. INTRODUCTION Pisiform bone injury is a rare bony injury, limited to few case reports or small case series. 1 CASE REPORT The advent of newer radiographic techniques are instrumental in the diagnosis. Complex wrist anatomy precludes easy identification of certain carpal fractures. Special imaging techniques in suspected cases holds key to the diagnosis. A 32 year old Tabla (Indian percussion instrument) player, presented to us with ulnar sided wrist pain for last two weeks. The pain was insidious in onset and mild in intensity but has been increasing in severity over the days to affect his hobby and activities of daily living. The patient is not a professional but has been playing Tabla since eight years with daily riyaz ( practice) for two hours.The pain was located to the volar medial aspect of the right wrist corresponding Case Report