eMedicine Specialties > Sports Medicine > Wrist and Hand

Hamate Fracture: Multimedia

Author: Amy Powell, MD, Assistant Clinical Professor, Department of Orthopedics, University of Utah
Coauthor(s): Emily Harold, MD, Staff Physician, Department of Internal Medicine, University of Utah Hospital; Janos P Ertl, MD, Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopedic Surgery, Wishard Hospital; Warren S Theis, MD, Staff Physician, Department of General Surgery, Carilion Roanoke Memorial Hospital; Nancy J Taubenheim, DPT, Staff Physical Therapist, Clinical Instructor, Department of Rehabilitation Services, Bryan LGH Medical Center
Contributor Information and Disclosures

Updated: May 13, 2008

Multimedia

Posterior (dorsal) view of the wrist.
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Media file 1: Posterior (dorsal) view of the wrist.
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Posterior (dorsal) view of the wrist.

Posterior (dorsal) view of the wrist.

Anterior palmar view.
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Media file 2: Anterior palmar view.
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Anterior palmar view.

Anterior palmar view.

Anteroposterior view of the wrist.
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Media file 3: Anteroposterior view of the wrist.
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Anteroposterior view of the wrist.

Anteroposterior view of the wrist.

Lateral view of the wrist.
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Media file 4: Lateral view of the wrist.
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Lateral view of the wrist.

Lateral view of the wrist.

Oblique view of the wrist.
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Media file 5: Oblique view of the wrist.
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Oblique view of the wrist.

Oblique view of the wrist.

Computed tomography scan of the wrist.
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Media file 6: Computed tomography scan of the wrist.
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Computed tomography scan of the wrist.

Computed tomography scan of the wrist.

Lateral computed tomography scan of the wrist.
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Media file 7: Lateral computed tomography scan of the wrist.
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Lateral computed tomography scan of the wrist.

Lateral computed tomography scan of the wrist.

Reconstruction of the hamate fracture.
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Media file 8: Reconstruction of the hamate fracture.
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Reconstruction of the hamate fracture.

Reconstruction of the hamate fracture.

More on Hamate Fracture

Overview: Hamate Fracture
Differential Diagnoses & Workup: Hamate Fracture
Treatment & Medication: Hamate Fracture
Follow-up: Hamate Fracture
Multimedia: Hamate Fracture
References
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References

  1. Lister G. The Hand: Diagnosis and Indications. 3rd ed. Philadelphia, Pa: Churchill Livingstone; 1993:88-92.

  2. Dobyns JH, Linscheid RL, Cooney WP 3rd. Fractures and dislocations on the wrist. In: Rockwood CA, Green DP, eds. Fractures in Adults. Vol 1. Philadelphia, Pa: JB Lippincott; 1984:411-51.

  3. Failla JM. Hook of hamate vascularity: vulnerability to osteonecrosis and nonunion. J Hand Surg [Am]. Nov 1993;18(6):1075-9. [Medline].

  4. Hirano K, Inoue G. Classification and treatment of hamate fractures. Hand Surg. 2005;10(2-3):151-7. [Medline].

  5. Guha AR, Marynissen H. Stress fracture of the hook of the hamate. Br J Sports Med. Jun 2002;36(3):224-5. [Medline]. [Full Text].

  6. Boulas HJ, Milek MA. Hook of the hamate fractures. Diagnosis, treatment, and complications. Orthop Rev. Jun 1990;19(6):518-29. [Medline].

  7. Bishop AT, Beckenbaugh RD. Fracture of the hamate hook. J Hand Surg [Am]. Jan 1988;13(1):135-9. [Medline].

  8. Welling RD, Jacobson JA, Jamadar DA, et al. MDCT and radiography of wrist fractures: radiographic sensitivity and fracture patterns. AJR Am J Roentgenol. Jan 2008;190(1):10-6. [Medline].

  9. Andresen R, Radmer S, Sparmann M, Bogusch G, Banzer D. Imaging of hamate bone fractures in conventional X-rays and high-resolution computed tomography. An in vitro study. Invest Radiol. Jan 1999;34(1):46-50. [Medline].

  10. Scheufler O, Andresen R, Radmer S, et al. Hook of hamate fractures: critical evaluation of different therapeutic procedures. Plast Reconstr Surg. Feb 2005;115(2):488-97. [Medline].

  11. Valente L, Sousa A, Gonçalves AM, Loureiro M, Almeida L. [Fracture of the hamate with carpometacarpal dislocation] [Portugese, English]. Acta Med Port. Mar-Apr 2007;20(2):179-84. [Medline]. [Full Text].

  12. Marck KW, Klasen HJ. Fracture-dislocation of the hamatometacarpal joint: a case report. J Hand Surg [Am]. Jan 1986;11(1):128-30. [Medline].

  13. Kapickis M, Looi KP, Khin-Sze Chong A. Combined fractures of the body and hook of hamate: a form of ulnar axial injury of the wrist. Scand J Plast Reconstr Surg Hand Surg. 2005;39(2):116-9. [Medline].

  14. Gillespy T 3rd, Stork JJ, Dell PC. Dorsal fracture of the hamate: distinctive radiographic appearance. AJR Am J Roentgenol. Aug 1988;151(2):351-3. [Medline]. [Full Text].

  15. Freeland AE, Finley JS. Displaced dorsal oblique fracture of the hamate treated with a cortical mini lag screw. J Hand Surg [Am]. Sep 1986;11(5):656-8. [Medline].

  16. Fujioka H, Tsunoda M, Noda M, Matsui N, Mizuno K. Treatment of ununited fracture of the hook of hamate by low-intensity pulsed ultrasound: a case report. J Hand Surg [Am]. Jan 2000;25(1):77-9. [Medline].

  17. Peacock KC, Hanna DP, Kirkpatrick K, et al. Efficacy of perioperative cefamandole with postoperative cephalexin in the primary outpatient treatment of open wounds of the hand. J Hand Surg [Am]. Nov 1988;13(6):960-4. [Medline].

  18. Antrum RM, Solomkin JS. A review of antibiotic prophylaxis for open fractures. Orthop Rev. Apr 1987;16(4):246-54. [Medline].

  19. Freeland AE, Jabaley ME. Stabilization of fractures in the hand and wrist with traumatic soft tissue and bone loss. Hand Clin. Aug 1988;4(3):425-36. [Medline].

  20. Scheufler O, Radmer S, Erdmann D, et al. Therapeutic alternatives in nonunion of hamate hook fractures: personal experience in 8 patients and review of literature. Ann Plast Surg. Aug 2005;55(2):149-54. [Medline].

  21. Failla JM. Osteonecrosis associated with nonunion of the hook of the hamate. Orthopedics. Feb 1993;16(2):217-8. [Medline].

  22. Dahlin LB, Ljungberg E, Esserlind AL. Injuries of the hand and forearm in young children caused by steam roller presses in laundries. Scand J Plast Reconstr Surg Hand Surg. 2008;42(1):43-7. [Medline].

  23. Failla JM, Amadio PC. Recognition and treatment of uncommon carpal fractures. Hand Clin. Aug 1988;4(3):469-76. [Medline].

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Further Reading

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Keywords

fracture of the hook, hook fracture, fracture of the hamate, hook of hamate fracture, fracture of the hook of hamate, wrist fracture, wrist trauma, hamate trauma, broken wrist, wrist injury

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Contributor Information and Disclosures

Author

Amy Powell, MD, Assistant Clinical Professor, Department of Orthopedics, University of Utah
Amy Powell, MD is a member of the following medical societies: American College of Physicians, American College of Sports Medicine, and American Medical Society for Sports Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Emily Harold, MD, Staff Physician, Department of Internal Medicine, University of Utah Hospital
Disclosure: Nothing to disclose.

Janos P Ertl, MD, Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopedic Surgery, Wishard Hospital
Janos P Ertl, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, Hungarian Medical Association of America, and Sierra Sacramento Valley Medical Society
Disclosure: Nothing to disclose.

Warren S Theis, MD, Staff Physician, Department of General Surgery, Carilion Roanoke Memorial Hospital
Disclosure: Nothing to disclose.

Nancy J Taubenheim, DPT, Staff Physical Therapist, Clinical Instructor, Department of Rehabilitation Services, Bryan LGH Medical Center
Disclosure: Nothing to disclose.

Medical Editor

Gerard A Malanga, MD, Director of Pain Management, Overlook Hospital; Director of PM&R Sports Medicine Fellowship, Atlantic Health; Clinical Professor, Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School; Clinical Chief, Rehabilitation Medicine and Electrodiagnosis, St Michael's Medical Center; Fellow, American College of Sports Medicine
Gerard A Malanga, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Physical Medicine and Rehabilitation, American College of Sports Medicine, North American Spine Society, and Physiatric Association of Spine, Sports and Occupational Rehabilitation
Disclosure: Cephalon Honoraria Speaking and teaching

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Henry T Goitz, MD, Fellowship Director, Sports Medicine, Department of Orthopedic Surgery, Henry Ford Hospital
Henry T Goitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Orthopaedic Society for Sports Medicine
Disclosure: Nothing to disclose.

CME Editor

Jon B Whitehurst, MD, Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner and Executive Board Member, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital
Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD, Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago
Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

 
 
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