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Hand & Upper Limb
intermediate
X-Type

Hamate Fractures - Diagnosis and Management

Carpal Fractures

A 28-year-old right-hand-dominant male golfer presents with ulnar-sided wrist pain after hitting the ground during a swing 3 weeks ago. He has pain with gripping and weak grip strength. On examination, there is tenderness over the hypothenar eminence, pain with resisted finger flexion, and paresthesias in the small finger. Standard wrist radiographs are reported as normal. Regarding hamate fractures:

Mark each as TRUE or FALSE

A

Hook of hamate fractures are most commonly caused by direct trauma from gripping activities such as ...

B

CT scan is the gold standard for diagnosing hook of hamate fractures with sensitivity approaching 10...

C

The ulnar nerve is not at risk with hook of hamate fractures; flexor tendon rupture does not occur; ...

D

The ulnar nerve motor branch to the hypothenar muscles passes adjacent to the hook of hamate in Guyo...

E

Hook of hamate excision is the preferred treatment for displaced, nonunion, or symptomatic fractures...

Answer the questions to see explanations

Click T (True) or F (False) for each option