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Case Rep Orthop 2019 13;2019:2483142. Epub 2019 Mar 13.

Department of Orthopaedic Surgery, Baba Memorial Hospital, 4-244 Nishiku Hamadera Funao-cho Higashi, Sakai, Osaka 592-8555, Japan.

Hamate hook fractures are usually caused by direct trauma while using a tennis racket or a baseball bat. We report stress fracture of the hamate hook in a water polo player without any specific trauma. We consider that the stress fracture occurred via indirect mechanisms through the flexor tendons. Read More

GMS Interdiscip Plast Reconstr Surg DGPW 2019 29;8:Doc05. Epub 2019 Mar 29.

Department of Cranio-maxillofacial, Plastic, and Reconstructive Surgery, Carl-Thiem-Klinikum, Cottbus, Germany.

Hamate fractures are commonly divided into hook fractures and body fractures. The coronal fractures as a special form of hamate's body fracture are very rare injuries. Because of unspecific clinical findings and the mostly inconclusive x-ray imaging, these fractures are frequently overseen or misdiagnosed. Read More

Indian J Orthop 2019 Mar-Apr;53(2):374-376

Department of Orthopedic Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea.

A 32-year-old man presented with simultaneous dorsal dislocations of the index-to-little finger carpometacarpal (CMC) joint with carpal bone fractures. Closed reduction was unsuccessful even after general anesthesia. During open dorsal approach, we found interposed joint capsule in the CMC joints and after removal of the joint capsule open reduction was easily achieved. Read More

JBJS Case Connect 2019 Jan-Mar;9(1):e16

Department of Orthopaedic Surgery, Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

Case: We report the case of a 39-year-old man who sustained an acute fracture of an os hamulus proprium, which was treated with open surgical excision after nonoperative treatment was unsuccessful. At the most recent follow-up, at 6 years after surgery, the patient was asymptomatic and maintained full function of the hand and the wrist.

Conclusion: An os hamulus proprium is often confused with a fracture of the hook of the hamate, and little information exists in the literature regarding these accessory ossicles. Read More

J Hand Surg Am 2019 Feb 20. Epub 2019 Feb 20.

Service de Chirurgie Réparatrice et de la Main, CHU de Nice, Hopital Pasteur 2, Nice. Electronic address:

Purpose: Optimal treatment of acute hook of hamate fractures (HHF) remains controversial. Isolated acute HHF can be treated nonsurgically or surgically (with excision of the hook or open reduction internal fixation). The authors present the functional outcomes of a case series of patients who were treated with minimally invasive volar fixation for acute HHF. Read More

Orthopedics 2019 Mar 1;42(2):e232-e235. Epub 2019 Feb 1.

Incomplete hook of the hamate fractures are difficult to diagnose and should be promptly removed to expedite return to sport. From January 2000 to November 2016, 143 excisions of the hook of the hamate were performed following fracture of the hamulus. Of these 143 excisions, 17 were performed because of a preoperative diagnosis of incomplete fracture. Read More

J Hand Surg Eur Vol 2019 May 23;44(4):367-371. Epub 2019 Jan 23.

1 Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

We reviewed computerized axial tomography of 28 patients with hamate hook fractures who had surgical resection of the hook. We analysed the relationship between the fragment height ratio, fragment gap, and intraoperative findings of the tendons. We determined whether parameters in the images can predict complication of tear or disruption of the flexor tendons to the ring or little fingers. Read More

Acta Orthop Traumatol Turc 2019 Jan 9. Epub 2019 Jan 9.

Hand Unit and Upper Extremity, Department of Orthopaedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain.

Objective: The aim of this study was to evaluate the outcomes of open reduction and internal fixation (ORIF) in hamate hook fractures and review the literature on this surgical procedure.

Methods: We report the outcomes of ORIF of hamate hook fractures in 13 consecutive patients (12 men and 1 woman; mean age: 32 years (range, 22-48 years)). In eight patients (61%) the fracture was associated with ulnar nerve neuritis in Guyon's canal. Read More

Tech Hand Up Extrem Surg 2018 Nov 30. Epub 2018 Nov 30.

Cleveland Clinic.

Ulnar-sided carpometacarpal (CMC) joint fracture dislocations are relatively uncommon, frequently associated with fractures of the metacarpal base and/or hamate, and often sustained by young male individuals secondary to striking a hard object. The complexity of ulnar-sided CMC fracture dislocations necessitates careful restitution of anatomic alignment and joint congruency for mobility and stability. Miniaturization of the external fixation device has allowed application to the hand. Read More

Medicine (Baltimore) 2018 Nov;97(46):e13275

Departments of Physical Medicine and Rehabilitation, Dongguk University College of Medicine, Gyeonggi-do.

Background: The aim of the study was to report characteristics of isolated hook of hamate fractures related to sports that require a strong grip and to identify factors affecting early diagnosis and recovery period.

Methods: A comprehensive literature search was conducted using MEDLINE, EMBASE, SCOPUS, Web of Science, the Cochrane Central Register of Controlled Trials, the World Health Organization International Clinical Trials Registry Platform, and the clinical trials registry and database of the US National Institutes of Health (ClinicalTrials.gov). Read More

J Hand Surg Asian Pac Vol 2018 Dec;23(4):441-449

1 Brighton and Sussex Medical School, University of Brighton, London, UK.

Background: Within hand trauma, the management of unstable, intra-articular fractures of the base of the middle phalanx remains highly controversial. The objective of this research was to determine which operation gives the best outcome in the management of displaced, intra-articular fractures of the base of the middle phalanx causing instability of the proximal interphalangeal joint.

Methods: A scoping study was performed to determine the evidence available and the terminology used. Read More

J Hand Surg Am 2018 Nov 9. Epub 2018 Nov 9.

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD. Electronic address:

Purpose: The purpose of this study was to determine the relationship between hemihamate graft size and proximal interphalangeal (PIP) joint flexion in a biomechanical fracture-dislocation model.

Methods: We simulated middle finger PIP fracture-dislocations in 5 cadaver hands by resecting 50% of the palmar articular surface of the middle phalanx (P2) base. Fluoroscopy was used to confirm dorsal subluxation of the middle phalanx base after resection. Read More

Arch Orthop Trauma Surg 2019 Jan 9;139(1):135-139. Epub 2018 Nov 9.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Yanagido 1-1, Gifu, 501-1194, Japan.

Fracture-dislocations of the fourth and fifth carpometacarpal (CMC) joints present a complex situation. Misdiagnosis and inadequate treatment may cause malunion and residual subluxation, which lead to painful arthritis and grip weakness. Open reduction along with internal fixation is the treatment of choice, but there is no consensus on an optimal treatment approach. Read More

Orthop J Sports Med 2018 Oct 17;6(10):2325967118803090. Epub 2018 Oct 17.

Kerlan-Jobe Orthopaedic Clinic, Los Angeles, California, USA.

Background: Fractures of the hook of hamate in baseball players are significant injuries that can lead to pain and missed time from competition. The diagnosis is typically delayed because of the vagueness of symptoms and normal radiographic findings. Excision of the nonunited fragment has been supported as the primary treatment, but there are currently limited information and data on a timetable for return to competition after surgery. Read More

J Hand Surg Am 2018 Oct 1. Epub 2018 Oct 1.

University Hospitals Case Medical Center, Department of Orthopaedic Surgery, University Hospitals of Cleveland, Cleveland, OH; Yale Medicine Orthopaedics, New Haven, CT.

Purpose: The hook of the hamate is an anatomical structure that separates the ulnar border of the carpal tunnel from Guyon's canal and serves as a landmark for surgeons. The hook of the hamate is also subject to fracture from injury. We hypothesize that there are variations in the hook of the hamate in the general population. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 08;32(8):984-988

Department of Hand Surgery, People's Hospital of Longhua, Shenzhen Guangdong, 518109, P.R.China.

Objective: To explore the effectiveness of maintaining the stability between the fourth and the fifth metacarple base during the treatment in the hamate-metacarpal joint injury.

Methods: Between September 2015 and June 2017, 13 cases of hamate-metacarpal joint injury were treated, including 12 males and 1 female, aged from 17 to 55 years (mean, 30.8 years). Read More

Radiol Case Rep 2018 Dec 13;13(6):1163-1165. Epub 2018 Sep 13.

Texas Children's Hospital, Department of Plastic Surgery and Orhtopedic Surgery, 6701 Fannin Street 8th Floor, Houston, TX 77030, USA.

Coalition of the carpal bones is a relatively uncommon anatomic anomaly. The majority of carpal coalitions occur between the lunate and triquetrum. There are rare reports of coalition involving the hamate and pisiform. Read More

Oper Orthop Traumatol 2018 Sep 14. Epub 2018 Sep 14.

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt a. d. Saale, Deutschland.

Objective: Restoration of proximal interphalangeal joint stability with preservation of mobility by reconstruction of the middle phalanx base using an osteochondral graft from the carpometacarpal joint surface of the hamate.

Indications: Acute and older isolated destruction of the palmar middle phalanx base >25%.

Contraindications: Destruction of the head of the proximal phalanx, advanced chondropathia of the head of the proximal phalanx, extensive soft tissue injury with loss of skin coverage at the proximal interphalangeal joint. Read More

Hand (N Y) 2018 Aug 18:1558944718795307. Epub 2018 Aug 18.

4 Torrance Orthopaedic & Sports Medicine Group, CA, USA.

Background: Fractures of the hook of the hamate are rare. Nonoperative management has historically been immobilization in a short arm cast (SAC) without thumb immobilization with a high reported incidence of nonunion. The high prevalence of nonunion following nonoperative treatment may be secondary to motion at the fracture site. Read More

J Hand Surg Am 2019 Feb 14;44(2):121-128. Epub 2018 Jul 14.

Department of Integrative Anatomical Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA; Human and Evolutionary Biology Section, Department of Biological Sciences, University of Southern California, Los Angeles, CA.

Purpose: Hemi-hamate arthroplasty has been described as a viable treatment option for unstable proximal interphalangeal joint fracture-dislocations. The procedure uses a dorsal distal hamate osteochondral graft to recreate the injured volar middle phalanx (MP) proximal base. The purpose of this study was to evaluate the similarity in shape of these articular surfaces using quantitative 3-dimensional methods. Read More

J Hand Surg Am 2019 Jan 20;44(1):60.e1-60.e8. Epub 2018 Jun 20.

Department of Surgery, Western University, Roth-McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, London, Ontario, Canada. Electronic address:

Purpose: Fragmentation of the scaphoid proximal pole secondary to avascular necrosis presents a difficult reconstructive problem. This anthropometric study assesses the utility of the ipsilateral proximal hamate for complete osteochondral scaphoid proximal pole reconstruction.

Methods: Twenty-nine cadaveric specimens underwent computed tomography scanning and 3-dimensional reconstruction of the carpus and distal radius. Read More

Musculoskelet Surg 2019 Apr 29;103(1):15-21. Epub 2018 May 29.

Orthopaedic Department of Sparti General Hospital, 23100, Sparti Lakonia, Greece.

Hamate fractures are exceedingly rare clinical entities. However, the diagnosis and treatment of these injuries are often delayed and can severely handicap the performance of affected laborers or athletes. This review focuses on fractures of the hamate and provides an update on the current consensus as to mechanism, diagnosis, management, and complications after such injuries. Read More

J Hand Surg Asian Pac Vol 2018 Jun;23(2):297-301

‡ Department of Plastic Surgery, Erasmus MC, Rotterdam, The Netherlands.

The hemi-hamate arthroplasty for proximal interphalangeal joint (PIPJ) dorsal fracture dislocations relies on complete dislocation of the joint using the 'shotgun' approach which provides excellent exposure but damages the delicate intrinsic joint stabilisers. We present a new approach to the PIPJ when performing the hemi-hamate arthroplasty. The volar surgical approach involves freeing up the whole tendon sheath-periosteal unit as a single layer, and retracting this to one side. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2018 Apr;50(2):245-248

Department of Human Anatomy & Histology and Embryology, Peking University School of Basic Medical Sciences, Beijing 100191, China.

Objective: To obtain three-dimensional intraosseous artery of the hamate and to provide the vascular anatomy basis of hamate fracture fixation.

Methods: PbO (lead monoxide, Sinopharm Chemical Reagent Beijing Co. Ltd) was ground into particles less than 40 μm and suspended in turpentine oil (Chemical Reagent Beijing Co. Read More

Hand Clin 2018 05;34(2):149-165

Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue-Stoneman 10, Boston, MA 02215, USA. Electronic address:

Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Read More

J Hand Surg Eur Vol 2018 Jun 28;43(5):499-505. Epub 2018 Mar 28.

Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran.

This study assessed the outcome of open reduction and internal fixation of proximal interphalangeal joint fracture-dislocations through a shotgun approach, while keeping hemi-hamate arthroplasty as a back-up plan. After using the shotgun approach, fixation was carried out when the anterior fragment was large enough to accept two 1.5 mm screws. Read More

Clin Sports Med 2018 Apr;37(2):217-243

Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA. Electronic address:

Injuries to the hands and wrist are common in athletes. Injuries include acute fractures, dislocations, ligamentous, and tendon injuries, as well as more chronic injuries such as sprains and strains. Complications in the treatment of sports injuries of the hand and wrist may be divided into 2 categories: incorrect or delayed diagnosis and iatrogenic injury related to treatment. Read More

J Long Term Eff Med Implants 2018 ;28(4):285-288

Orthopedic Associates of SW Ohio, Orthopedic Residency Program, Dayton, Ohio.

A 65-year-old male presented with an acute nondisplaced hook of hamate fracture while lifting a suitcase. Conservative management was employed, and he was treated with a thumb spica cast. At the most recent follow-up, he demonstrated resolution of pain and restoration of motion. Read More

Skeletal Radiol 2018 Apr 16;47(4):505-510. Epub 2017 Nov 16.

Department of Radiology, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.

Objective: The scaphoid is the most commonly fractured carpal bone. The presence of a concomitant hook of hamate fracture is of particular relevance given that it is often occult on routine wrist/scaphoid radiographs and that hook of hamate fractures are prone to symptomatic non-union, resulting in chronic ulnar wrist pain. Prompt diagnosis and immobilisation/fixation may minimise such complications. Read More

J Orthop Case Rep 2017 May-Jun;7(3):25-30

Department of Orthopaedics, Postgraduate Institute of Medical Education & Research, Sector 12, Chandigarh, India.

Introduction: Hamulus fractures are uncommon injuries constituting 2-4% of carpal fractures and are usually reported in athletes. Stress fractures of hamulus are even rarer and very few cases have been reported till date. In this case report, we present the first documented case of stress fracture of hamulus in a cricket batsman and review the existing literature on hamulus fractures, both acute and stress fractures, in sportspersons in general. Read More

J Hand Surg Eur Vol 2018 Jun 11;43(5):539-545. Epub 2017 Sep 11.

1 Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA.

The purpose of this study was to evaluate the time to diagnosis and management of hook of hamate fractures in an era of advanced imaging. We performed a retrospective study of 51 patients treated for hook of hamate fractures. Patients were sent a quickDASH questionnaire regarding the outcomes of their treatment. Read More

J Hand Surg Am 2017 Oct 26;42(10):803-809. Epub 2017 Aug 26.

Department of Orthopaedic Surgery, Washington University School of Medicine at Barnes Jewish Hospital, St. Louis, MO. Electronic address:

Purpose: The purpose of this study was to evaluate the efficacy of hook of the hamate excision for fracture in a large cohort of patients to better understand recovery time and complications.

Methods: We retrospectively reviewed the medical records of patients treated with surgical excision for hook of the hamate fractures at 2 different centers. We collected information on demographics, clinical presentation, and postoperative complications. Read More

AJR Am J Roentgenol 2017 Nov 23;209(5):1110-1118. Epub 2017 Aug 23.

1 Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201.

Objective: The purposes of this article are to review hook of the hamate anatomy, describe the imaging features of the spectrum of pathologic conditions, and discuss the pearls and pitfalls of imaging for clinical decision making for pathologic entities affecting the hook of the hamate.

Conclusion: Knowledge of the anatomy, imaging appearance, and clinical management of hook of the hamate abnormalities is important for radiologists in guiding the care of patients with ulnar-sided wrist symptoms. Read More

Hand (N Y) 2017 09 22;12(5):NP51-NP54. Epub 2016 Sep 22.

1 Brown University, Warren Alpert Medical School, Department of Orthopaedic Surgery, Providence, RI, USA.

Background: Dislocation of all 5 carpometacarpal (CMC) joints of a single hand is a rare injury.

Methods: The literature regarding CMC fracture-dislocations was reviewed and a case was presented.

Results: The relevant literature was consolidated to clinically relevant categories including 'Clinical Presentation and Diagnosis,' 'Management of CMC Fracture Dislocation and Hamate Fractures,' and 'Outcomes. Read More

J Sport Rehabil 2018 Nov 27;27(6):577-580. Epub 2018 Jul 27.

Context: Major League Baseball (MLB) players are at risk of hook of hamate fractures. There is a paucity of data assessing the effect of a hook of hamate fracture on MLB players' future athletic performance.

Objective: To determine if MLB players who sustain hook of hamate fractures demonstrate decreased performance upon return to competition when compared with their performance before injury and that of their control-matched peers. Read More

Clin J Sport Med 2018 07;28(4):382-388

Department of Trauma and Orthopedic Surgery, Friedrich Alexander University, Erlangen-Nuremberg, Erlangen, Germany.

Objective: Sport climbers strain passive and active anatomical structures of their hands and fingers to the maximum during training or competition. This study was designed to investigate bone marrow edema (BME) in rock climbing athletes.

Design: Systematic detection, treatment, and follow-up investigation of rock climbing athletes with BME of the hand. Read More

Open Orthop J 2017 30;11:447-451. Epub 2017 May 30.

Department of Hand Surgery, Orthopaedic Clinic of Patras University Hospital, Patras, Greece.

Background: Solitary fractures of the body of the hamate are rare. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination.

Case Report: We present a case of a 36-year-old male patient who sustained an intraarticular fracture of the body of the hamate along with dorsal dislocation of the 4 and 5 metacarpals on his right dominant hand. Read More

Arch Bone Jt Surg 2017 May;5(3):133-138

Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.

Background: It is possible that some hamate hook fractures are not diagnosed or treated, thereby affecting the study of their natural history. Study of the prevalence of incidental hamate hook fractures, nonunions, and other abnormalities on computed tomography (CT) ordered for another reason could document a subset of undiagnosed and untreated hamate hook fractures which might change our understanding about the natural history.

Methods: Reports of 2489 hand, wrist, and forearm CT scans for hamate hook abnormalities were searched. Read More

Emerg Radiol 2017 Dec 14;24(6):689-695. Epub 2017 Jun 14.

Wilford Hall Ambulatory Surgical Center, Lackland AFB, TX, USA.

Hamate fractures are estimated to represent 1.7% of all carpal fractures and can occur at the hamulus (hook) or hamate body depending on mechanism of injury. Fractures of the hamate body can be exceedingly difficult to identify on standard wrist and hand radiographs in the emergency department. Read More

J Hand Surg Asian Pac Vol 2017 Jun;22(2):156-159

1 Hand & Microsurgery Section, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, Singapore.

Background: Congenital carpal coalition is usually seen as an incidental finding. The incidence of carpal coalition has been reported from 0.1 to 9. Read More

J Hand Surg Eur Vol 2017 Oct 8;42(8):799-802. Epub 2017 May 8.

Paul Brand Centre for Hand Surgery & Peripheral Nerve Surgery, Christian Medical College & Hospital, Vellore, India.

We report clinical outcomes in 12 patients with hemi-hamate replacement arthroplasty combined with volar plate arthroplasty. The volar plate was reattached using trans-osseous sutures to reconstruct the ligament-box complex after hamate grafting to augment the stability of the proximal interphalangeal joint. Ten patients had improved joint movement from a mean of 14° before surgery to a mean of 77° at a minimum follow-up of 2 years. Read More

Hand (N Y) 2017 03 23;12(2):NP27-NP31. Epub 2016 Sep 23.

Centro Medico Guerra Mendez, Valencia, Venezuela.

Perilunate fracture dislocations are often associated with fractures of the distal pole of the scaphoid or the proximal pole of the capitate. However, the combination of perilunate dislocation with multiple carpal fractures and associated scaphocapitate syndrome is very rare. We report a unique case of scaphocapitate fracture syndrome with perilunate dislocation and fracture of the hamate resulting from a high-energy injury to the wrist during a dirt-bike competition. Read More

Skeletal Radiol 2017 May 22;46(5):693-699. Epub 2017 Feb 22.

Radiology Department, Hôpital Bicêtre, 78 rue du Général Leclerc, 94266, Le Kremlin-Bicetre, France.

Hamate-pisiform coalition is an exceptional form of carpal coalition. Case reports are essential to gain a better understanding of this variant. We report a case of congenital bilateral hamate-pisiform coalition in a 20-year-old male discovered in the context of a right wrist trauma. Read More

Hand (N Y) 2016 12 3;11(4):495-499. Epub 2016 Mar 3.

Mayo Clinic, Rochester, MN, USA.

Fractures of the proximal pole of the scaphoid can be difficult to heal because of its limited vascular supply. Furthermore, nonunion with avascular necrosis and secondary fragmentation makes surgical reconstruction a challenging procedure. We describe a technique and report the outcome of a proximal hamate autograft to treat a proximal pole scaphoid nonunion with avascular necrosis. Read More

Hand Surg Rehabil 2017 02 20;36(1):62-65. Epub 2016 Sep 20.

CHU de Caen, Service de chirurgie orthopédique, Inserm U1075 COMETE, avenue de la Côte-de-Nacre, 14003 Caen, France.

Stress fracture of the hook of the hamate is uncommon and is usually seen in sports involving a club, racquet or bat (i.e., golf, tennis or baseball). Read More

Ugeskr Laeger 2017 01;179(4)

J Arthritis 2017 21;6(4). Epub 2017 Jul 21.

Department of Orthopaedic Surgery, Reinier de Graaf Hospital Delft, The Netherlands.

Introduction: Single photon emission computed tomography has been introduced as a promising new diagnostic tool in orthopaedic pathology since the early 90'. Computed tomography, the combined with SPECT, gives insight in the specific sight of wrist pathology. Literature already supports introduction of SPECT/CT in wrist pathology, but clinical application is lagging. Read More

Hand Clin 2017 02;33(1):81-96

Comprehensive Hand Center, University of Michigan, North Campus Research Complex, 2800 Plymouth Road, Building 14 G200, Ann Arbor, MI 48109, USA.

A thorough understanding of the swing phases and mechanisms of injury in golf allows accurate diagnosis, treatment, and future prevention of injuries. Recommended initial treatment starts with cessation of practice to rest the wrist, a splint or orthotic brace, and nonsteroidal antiinflammatory drug medication with corticosteroid injection and swing modification. Pisiform excision is the best treatment of the most severe chronic cases of pisiform ligament complex syndrome. Read More

Wien Klin Wochenschr 2017 Feb 15;129(3-4):136-140. Epub 2016 Nov 15.

Department of Orthopaedic Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Salata 6-7, 10000, Zagreb, Croatia.

Background: Hamate hook (HH) stress fractures are rare, often presenting with misleading symptoms and easily overlooked/misdiagnosed. These fractures occur frequently in individuals participating in sports activities involving racquets, bats, or clubs. Symptoms are non-specific and often mimic other clinical conditions, such as ulnar nerve entrapment or ulnar vessel thrombosis. Read More

Wilderness Environ Med 2016 Dec 26;27(4):492-499. Epub 2016 Oct 26.

Department of Sports Orthopedics, Sports Medicine, Sports Traumatology, Department of Orthopedics and Traumatology, Klinikum Bamberg, Bamberg, Germany (Drs Lutter and Schöffl); Department of Trauma and Orthopedic Surgery, Friedrich Alexander University, Erlangen-Nuremberg, Germany (Dr Schöffl).

Objective: Hamate hook fractures are rare injuries, comprising 2% to 4% of all carpal fractures. Climbing athletes seem to be affected more frequently than others, as they strain the passive and active anatomical structures of their hands and fingers to maximum capacity during training or competing. This stress is transmitted to the hook of the hamate by tightened flexor tendons, which creates high contact pressure to the ulnar margin of the carpal tunnel. Read More