Dorsal hamate body fracture

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Punch injury.

Patient Data

Age: 25 years
Gender: Male
x-ray
Frontal
Oblique
Lateral
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Info

There is mildly displaced fracture involving the dorsal carpus only well appreciated on lateral projection. Associated overlying soft tissue swelling. This probably represents a fracture of the dorsal hamate but further assessment with CT is advised.

ct
This study is a stack
Axial bone
window
This study is a stack
Coronal
bone window
This study is a stack
Sagittal
bone window
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Info

Transverse coronally-orientated fracture of the dorsal aspect of the hamate body with mild dorsal displacement measuring 3 mm maximally. The fracture involves the dorsal aspect of the articulation between the hamate and the triquetrum.

No other fracture identified. Carpal alignment is normal. /Incidental small bone islands in the proximal pole of the scaphoid and distal hamate.

Case Discussion

Type 2a hamate body fracture.

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