Hook of hamate fracture
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- updated 16 Oct 2022:
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Hook of hamate fractures (also sometimes termed type 1 hamate fractures) are rare. They are a form of hamate fractures and occur from the hamate fracturing after blunt trauma, falls, and in sports player (e.g. golf, baseball, racquet sports) from a direct blow while swinging. Stress fractures have also been reported.
This can be managed conservative or with surgical Excision or fixation depending on patient demands.
It may result in Guyon's canal syndrome.
Radiographic assessment
If occult on standard views, a carpal tunnel view may be of value for better assessment. CT can be considered if initial radiographs are negative. MRI is 100% sensitive and can be considered for high suspicion for injury.
Differential diagnosis
-<p><strong>Hook of hamate</strong> <strong>fractures</strong> (also sometimes termed <strong>type 1 hamate fractures</strong>) are rare. They are a form of <a href="/articles/hamate-fracture">hamate fractures</a> and occur from the <a href="/articles/hamate">hamate</a> fracturing after blunt trauma, falls, and in sports player (e.g. golf, baseball, racquet sports) from a direct blow while swinging. Stress fractures have also been reported. </p><p>It may result in <a href="/articles/guyons-canal-syndrome">Guyon's canal syndrome</a>. </p><h4>Radiographic assessment</h4><p>If occult on standard views, a <a href="/articles/wrist-carpal-tunnel-view-1">carpal tunnel view</a> may be of value for better assessment.</p><h4>Differential diagnosis</h4><ul><li><a href="/articles/os-hamuli-proprium">os hamuli proprium</a></li></ul>- +<p><strong>Hook of hamate</strong> <strong>fractures</strong> (also sometimes termed <strong>type 1 hamate fractures</strong>) are rare. They are a form of <a href="/articles/hamate-fracture-classification">hamate fractures</a> and occur from the <a href="/articles/hamate">hamate</a> fracturing after blunt trauma, falls, and in sports player (e.g. golf, baseball, racquet sports) from a direct blow while swinging. Stress fractures have also been reported. </p><p>This can be managed conservative or with surgical Excision or fixation depending on patient demands.</p><p>It may result in <a href="/articles/guyons-canal-syndrome">Guyon's canal syndrome</a>. </p><h4>Radiographic assessment</h4><p>If occult on standard views, a <a href="/articles/wrist-carpal-tunnel-view-1">carpal tunnel view</a> may be of value for better assessment. CT can be considered if initial radiographs are negative. MRI is 100% sensitive and can be considered for high suspicion for injury. </p><h4>Differential diagnosis</h4><ul><li><p><a href="/articles/os-hamuli-proprium">os hamuli proprium</a></p></li></ul>