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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Hamate Hook Fracture

Carpal Injuries

A 24-year-old professional golfer presents with ulnar-sided wrist pain that developed gradually over 3 months. He notes weakness of grip and occasional tingling in his ring and small fingers. Examination reveals tenderness in the hypothenar eminence approximately 1cm distal and radial to the pisiform. Standard wrist radiographs are normal but clinical suspicion remains high. Regarding hamate hook fractures:

Mark each as TRUE or FALSE

A

Hamate hook fractures are most commonly caused by direct trauma from a club, bat, or racket handle s...

B

Clinical examination reveals point tenderness over the hook of hamate which is located 1cm distal an...

C

Hamate hook fractures are easily visible on standard PA and lateral radiographs; CT scan provides no...

D

Standard radiographs often miss hamate hook fractures; the carpal tunnel view and supinated oblique ...

E

Treatment options include conservative management (cast immobilization) for acute, non-displaced fra...

Answer the questions to see explanations

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