The Orthobullets Podcast Hand | Hook of Hamate Fracture
May 8, 2025
Dive into the world of hand injuries, specifically the hook of hamate fractures. Learn how these injuries commonly affect athletes in gripping sports and explore the complications that can arise. The discussion highlights crucial diagnostic techniques and treatment strategies to ensure effective management. You'll also gain insights into important anatomical considerations that play a role in recovery. Perfect for anyone interested in sports medicine or orthopedic care!
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Rare, Often Missed Fracture
- Hook of hamate fractures are rare and often missed injuries, mostly caused by direct blows to the hamate bone.
- They mostly affect athletes and diagnosis requires specific radiographic views or CT scans.
Poor Blood Supply Causes Nonunion
- The hook of hamate has a poor blood supply, contributing to a high rate of fracture nonunion up to 50%.
- Absence of the ulnar vessel in many patients explains this poor healing.
Tailored Treatment Options
- Non-displaced acute hook of hamate fractures benefit from immobilization in a short arm ulnar gutter cast for six weeks.
- Surgical excision or fixation is preferred for symptomatic nonunions or displaced fractures.