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Hamate Hook Fractures Summary

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Alright, so let's consider hamate hook fractures.

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So as part of our checklist on the frontal projection,

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we have the SCA illuminate triquetrum overlap

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of the pisiform capitate hamate.

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And arrow is pointing to the ring shadow

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for the hook of the ate.

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Now if that's not visualized, then it may mean

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that there's a developmental anomaly

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or a possible handmaid hook fracture.

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If we go to do our carpal tunnel projection, we see

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that in this case rather than an acute fracture line,

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we see a well corticated ossicle.

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And thus this represents an unfused handmaid hook

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hypothesis, which is a normal variant

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and can sometimes simulate a handmaid hook fracture

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as the one that we identified on the online case.

Report

Faculty

John A Carrino, MD, MPH

Vice-Chairman, Radiology and Imaging

Hospital for Special Surgery

Tags

X-Ray (Plain Films)

Trauma

Musculoskeletal (MSK)

Hand & Wrist

Emergency