Diagnosis and management of hook of hamate fractures

Assaf Kadar, Allen T. Bishop, Marissa A. Suchyta, Steven L. Moran

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


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. Hook of hamate fractures were diagnosed with advanced imaging at a median of 27 days. Clinical findings of hook of hamate tenderness had better sensitivity than carpal tunnel-view radiographs. Nonunion occurred in 24% of patients with non-operative treatment and did not occur in the operative group. Both treatment groups achieved good clinical results, with a grip strength of 80% compared with the non-injured hand and a median quickDASH score of 2. Advanced imaging improved the time to diagnosis and treatment compared to historical case series. Nonunion is common in patients treated non-operatively. Level of evidence: IV.

Original languageEnglish (US)
Pages (from-to)539-545
Number of pages7
JournalJournal of Hand Surgery: European Volume
Issue number5
StatePublished - Jun 1 2018


  • Hook of hamate fracture
  • excision
  • nonunion
  • open reduction internal fixation
  • outcomes
  • survey

ASJC Scopus subject areas

  • Surgery


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