Hook of Hamate Fractures in Competitive Baseball Players

Bachoura, Abdo; Wroblewski, Andrew; Jacoby, Sidney M.; Osterman, A. Lee; Culp, Randall W.

doi:10.1007/s11552-013-9527-4

Cited by 44 publications

(48 citation statements)

References 32 publications

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“…This injury pattern is consistent with prior observations expressed in the literature as well as with our own expectations based on the knowledge that forces become concentrated in the follow-through, or non-dominant, hand. [1,2,7,9]…”

Section: Discussionmentioning

confidence: 99%

“…[7] Other smaller studies have reported similarly favorable results, with average RTP ranging from 4–8 weeks[2,8,10] and complication rates between 0 and 8%. [1,2,5,7,11,13,14]…”

Section: Discussionmentioning

confidence: 99%

“…[1–4] The volar and radially projecting hook of the hamate is at risk in athletes participating in sports requiring gripping[2] or those sustaining a direct impact to the proximal palm. [1] While some patients may present with acute symptoms consistent with a hook of the hamate fracture, others present with chronic, worsening discomfort without an identifiable trauma. A displaced hook fracture is anatomically important as it may impinge on the ulnar nerve and ring and small finger flexor tendons.…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, the injury can also present with any combination of pain, weakened grip, and ulnar nerve paresthesias. [1,5,6] Given this constellation of symptoms, it may be misdiagnosed,[1] especially in chronic cases for which a traumatic mechanism is not immediately identifiable. [6]…”

Section: Introductionmentioning

confidence: 99%

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Return to Play and Complications After Hook of the Hamate Fracture Surgery

Bansal

Carlan

Moley

et al. 2017

The Journal of Hand Surgery

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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. Continuous outcome variables included time-to-surgery, return-to-play and return to activity. Results Our cohort of 81 patients had a median age of 22 years and was composed of 74 athletes including 57 baseball players, and 8 golfers. The median time to return to play was 6 weeks (range 1 – 36 weeks) after surgery; 11 patients (14%) had a return at 12 weeks or longer. Seventy-eight patients returned to pre-injury activity levels. Twelve patients with a full-recovery continued to experience some level of intermittent, non-specific pain in the affected hand, although this was not severe enough to require additional treatment. We observed a 25% incidence of postoperative complications with the majority consisting of transient ulnar nerve dysfunction. Complications were more common among non-athletes, those presenting with nonunions, and those experiencing longer intervals between injury and surgery. Conclusion In most cases, surgical excision as treatment for hook of the hamate fractures is safe and allows a relatively rapid return to play. However, we found a higher incidence of complications, including transient ulnar nerve dysfunction, than has been previously reported. Additionally, there is a group of patients with delayed return to play and continued discomfort after surgery. These findings should inform the discussion with surgical candidates.

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Section: Discussionmentioning

confidence: 99%

“…[7] Other smaller studies have reported similarly favorable results, with average RTP ranging from 4–8 weeks[2,8,10] and complication rates between 0 and 8%. [1,2,5,7,11,13,14]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Return to Play and Complications After Hook of the Hamate Fracture Surgery

Bansal

Carlan

Moley

et al. 2017

The Journal of Hand Surgery

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“…The pisiform-hamate ligament, flexor retinaculum (also known as the transverse carpal ligament), flexor carpi ulnaris tendon, opponens digiti minimi tendon, and flexor digiti minimi tendon all attach to the hook. The biomechanical function of the hook is to act as a pulley for the flexor tendons of the ring and small fingers [7, 8]. …”

Section: Anatomymentioning

confidence: 99%

Hook of the Hamate: The Spectrum of Often Missed Pathologic Findings

Davis

2017

American Journal of Roentgenology

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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.

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