Isolated hook of hamate fracture in sports that require a strong grip comprehensive literature review

Kim, Heejae; Kwon, Bum-Sun; Kim, Jihyun; Nam, Kichan

doi:10.1097/md.0000000000013275

Cited by 5 publications

(11 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Computed tomography is frequently used to diagnose hamate fractures in SM patients [3] . However, the use of MRI is recommended to assess for neurovascular injuries, TFCC tear, nonunion, non-fused ossification center, or other carpal fracture [1] , [3] , [9] , in addition to avoid radiation exposure in the SI. Radiologic findings such as absence of well corticated margins and bone edema in MRI support the diagnosis of a HoH fracture over other conditions in the differential such as an accessory ossicle or Os hamuli proprium, especially if trauma history and ulnar symptoms are present.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Hook of hamate (HoH) fractures are infrequent in the general population [1] , [2] , [3] . They are commonly presented in skeletally mature (SM) individuals who perform athletic activities such as golf, baseball, or racquet sports [1] , [2] . Direct compression, forceful grip, microtrauma, shearing forces or their combination, are some of the mechanisms that have been associated with injury to the HoH [1] , [2] , [3] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Non-union in a hook of hamate fracture of a skeletally immature baseball player

Rodriguez-Alejandro

Olivella

Torres-Lugo

et al. 2021

Trauma Case Reports

View full text Add to dashboard Cite

An isolated hook of hamate fracture is an extremely rare condition in skeletally immature patients. Early diagnosis and treatment are vital for the functional outcome of athletes such as baseball players. The hook of hamate fracture may be missed at initial presentation due to nonspecific symptoms and false-negative radiographs, which may eventually lead to a nonunion. Currently, there is no clear indication of surgical intervention for nonunion of the hook of hamate in a skeletally immature patient. This report presents the case of a twelve-year-old skeletally immature male with a hook of hamate fracture who underwent surgical bone fragment excision three months after initial injury due to a nonunion of the hamate bone. At the two-year postoperative visit, excellent results were obtained, and patient was able to continue his sports activity without any functional impairment.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Non-union in a hook of hamate fracture of a skeletally immature baseball player

Rodriguez-Alejandro

Olivella

Torres-Lugo

et al. 2021

Trauma Case Reports

View full text Add to dashboard Cite

show abstract

“…The golfer's leading, nondominant wrist can be placed in excessive ulnar deviation during the address and downswing phases (19,20). Pressure on the hook of hamate by the club occurs during the swing (19,20). Repeated pronosupination increases stress on the TFCC (19,20).…”

Section: Golfmentioning

confidence: 99%

“…Pressure on the hook of hamate by the club occurs during the swing (19,20). Repeated pronosupination increases stress on the TFCC (19,20). Ball contact creates the greatest force transfers in wrist extension and radial deviation, causing sudden ECU eccentric contractions and microtrauma on the hook of hamate (5,(19)(20)(21)(22).…”

Section: Golfmentioning

confidence: 99%

Ulnar-Sided Wrist Pain in the Athlete: Sport-Specific Demands, Clinical Presentation, and Management Options

Rios-Russo

Lozada-Bado

Mel

et al. 2021

Curr Sports Med Rep

View full text Add to dashboard Cite

Ulnar-sided wrist injuries are common in sports that require repeated pronosupination, wrist radial/ulnar deviation, axial loading, and gripping equipment. Common anatomic structures affected include the triangular fibrocartilage complex, extensor carpi ulnaris tendon, distal radioulnar and ulnocarpal joints, and hamate bone. Presenting symptoms include pain with activity, swelling, possible snapping or clicking, and reproduction of symptoms with provocative maneuvers. Imaging may confirm or rule out pathologies, but abnormal findings also may present in asymptomatic athletes. Initial treatment is usually nonoperative with splinting, load management, activity modification, strengthening the components of the kinetic chain of the particular sport, and pain management. Surgery is usually indicated in ulnar-wrist pain pathology such as hook of hamate fractures and required in associated instability. Future research should address specific treatment and rehabilitation protocols, emphasizing the complete kinetic chain along with the injured wrist.

show abstract

Understanding the Injury Mechanism in Hamate Hook Fractures by Investigating Fracture Morphologies: A Case Series Study

Suzuki,

Kanda

2024

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: Many studies have described hamate hook fractures resulting from direct force from sporting tools. However, several authors have reported fractures that did not occur during swing-related activities. This study aimed to understand the injury mechanism of fractures by investigating their morphologies. Methods: We selected patients with hamate hook fractures and collected data on computed tomography scans, injury causes, and how athletes handled sporting tools. Results: We investigated 50 patients, and the study cohort included 32 patients who sustained injuries during sports: 24 during baseball (group A) and 8 during other sports (group B). Sixteen patients sustained injuries from falls (group C), and 2 had their hands crushed while using an industrial press machine (group D). In group A, most patients had a fracture line starting from the middle section of the radial side, accompanied by osteosclerotic changes in their lower hand. In group B, most patients had fracture morphologies similar to those of most patients in group A. The main morphology of fractures in group C was a transverse fracture at the base. Two patients in group D had minimal fragments at the tip of the hooks. Conclusions: Our results question the theory that most hamate hook fractures in athletes are caused by direct force exerted on the palm because the fracture morphology was different from that of patients injured by acute trauma from direct force. Instead, these fractures likely stem from an indirect mechanism involving repetitive force generated by the tendons and muscles acting on the hook.

show abstract

Isolated hook of hamate fracture in sports that require a strong grip comprehensive literature review

Abstract: Supplemental Digital Content is available in the text

Cited by 5 publications

References 44 publications

Non-union in a hook of hamate fracture of a skeletally immature baseball player

Non-union in a hook of hamate fracture of a skeletally immature baseball player

Ulnar-Sided Wrist Pain in the Athlete: Sport-Specific Demands, Clinical Presentation, and Management Options

Understanding the Injury Mechanism in Hamate Hook Fractures by Investigating Fracture Morphologies: A Case Series Study

Contact Info

Product

Resources

About