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 tunnel to the pisiform and hook of hamate. The narrowest section of the tunnel is located a centimetre beyond the mid-line of the distal row of carpal bones where the sectional area is limited to 1.6 cm. The tendons of the flexor digitorum superficialis and profundus pass through a common ulnar sheath, while the tendon of the flexor pollicis longus passes through a separate radial sheath. The mesotendon shared by these tendons is attached to the radial and palmar walls of the carpal tunnel. Superficial to the carpal tunnel and the flexor retinaculum, the ulnar artery and ulnar nerve pass through