Hook of hamate fracture

Case contributed by Henry Knipe
Diagnosis certain

Presentation

FOOSH two weeks ago. Ongoing pain.

Patient Data

Age: 13 years
Gender: Female
mri
This study is a stack
Coronal PD
fat sat
This study is a stack
Coronal
T1
This study is a stack
Axial PD
fat sat
This study is a stack
Axial
PD
This study is a stack
Sagittal
PD
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Info

Marrow edema through the palmar aspect of the hamate with a linear low signal intensity through the base of the hook. No further focus of bone marrow edema elsewhere. 

Case Discussion

Undisplaced hook of hamate fracture that was completely occult on x-ray. This case shows the value of MRI in patients with persistent symptoms post FOOSH. 

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