Title: Hook of hamate fracture<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
        Hook of hamate fracture</p>
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        Often missed fracture despite classic history</p>
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        A frequent athletic injury</p>
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        Seen in stick sports (golf, baseball, hockey)</p>
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        Typically caused by a direct blow (grounding a gold club)</p>
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        <a href="https://upload.orthobullets.com/topic/6035/images/hamate_baseball.jpg">https://upload.orthobullets.com/topic/6035/images/hamate_baseball.jpg</a></p>
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        Patient presents with hypothenar pain and pain with tight gripping</p>
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        <a href="https://upload.orthobullets.com/topic/6035/images/hamate_golf.jpg">https://upload.orthobullets.com/topic/6035/images/hamate_golf.jpg</a></p>
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        Presentation may be subacute with longstanding wrist or palmer pain</p>
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        Physical exam: Tender to palpation over hook of hamate</p>
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        Specialized test: hook of hamate pull test</p>
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        Supinated hand held in ulnar deviation. Ask patient to actively flex 4^th and 5^th digits against resistance at DIP.<br />
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        <a href="https://www.youtube.com/watch?v=A-mjRnC1yWQ">https://www.youtube.com/watch?v=A-mjRnC1yWQ</a></p>
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        Radiology: Consider adding carpal tunnel view to standard wrist series if diagnosis is suspected</p>
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        CT sometimes needed to image the fracture</p>
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         </p>
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        Tx: Immobilize in a short arm splint</p>
<fieldset><legend>References</legend>

                <p>
        https://eorthopod.com/news/new-test-for-sports-injury-of-the-hand/</p>
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         </p>
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        https://www.orthobullets.com/hand/6035/hook-of-hamate-fracture</p>
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