Pisiform bone evolutionary benefits from having a shorter pisiform bone, including facilitating ulnar deviation of the hand and preventing hyperextension of the wrist, motions that improve the action of clubbing. 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
Carpal bones or "distal surfaces" are articular, the superior generally convex, the inferior concave; the "medial" and "lateral surfaces" are also articular where they are in contact with contiguous bones, otherwise they are rough and tuberculated. The structure in all is similar: cancellous tissue enclosed in a layer of compact bone. Occasionally accessory bones are found in the carpus, but of more than 20 such described bones, only four (the central, styloid, secondary trapezoid, and secondary pisiform bones) are considered to be proven accessory bones. Sometimes the scaphoid, triquetrum, and pisiform bones are divided into two. The carpal bones are ossified endochondrally