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Hook of hamate fractures often result from athletic activity involving the use of golf clubs, baseball bats, tennis rackets, etc. Most hook of hamate fractures heal if well immobilized immediately.

Physical Exam

A hamate fracture can be diagnosed with a physical exam and x-rays. The most common symptom is pain in the palm aggravated by grasp. Other symptoms of a hamate fracture include diminished grip strength, dorsal wrist pain, and ulnar nerve paresthesia. 


A CT scan is the best way to identify the hook of hamate fracture.


Hamate fractures that are well immobilized immediately and are treated soon after injury have excellent outcomes. A fracture which does not heal will require excision of the hook of the hamate. Patients with excisions of hook of hamate usually return to their pre-injury level of activity.