Diagnosis and management of hook of hamate fractures

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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


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


FundersFunder number
Mayo Clinic


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


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