Pisiform bone Pisiform bone The pisiform bone ( or ), also spelled pisiforme (from the Latin "pisifomis", pea-shaped), is a small knobbly, sesamoid bone that is found in the wrist. It forms the ulnar border of the carpal tunnel. The pisiform is a sesamoid bone, with no covering membrane of periosteum. It is the last carpal bone to ossify. The pisiform bone is a small bone found in the proximal row of the wrist (carpus). It is situated where the ulna joins the wrist, within the tendon of the flexor carpi ulnaris muscle. It only has one side that acts as a
Stapedius muscle of the facial nerve, the stapedius is paralyzed and hyperacusis may result. Like the stapes bone to which it attaches, the stapedius muscle shares evolutionary history with other vertebrate structures. The mammalian stapedius evolved from a muscle called the depressor mandibulae in other tetrapods, the function of which was to open the jaws (this function was taken over by the digastric muscle in mammals). The depressor mandibulae arose from the levator operculi in bony fish, and is equivalent to the epihyoidean in sharks. Like the stapedius, all of these muscles derive from the hyoid arch and are innervated by cranial