How long is recovery from hook of hamate surgery?

How long is recovery from hook of hamate surgery?

Return to Play and Full Recovery The median return to play time after surgery was 6 weeks (range 1 – 36 weeks).

What is the hook of hamate?

The hamate is a wedge-shaped bone located on the outside of the wrist on the small-finger side. It has a projection on the side of the bone called “the hook of hamate.” This hook is susceptible to a fracture from a direct blow to the wrist or a stress fracture from overuse of the wrist.

What is the surgical procedure for a hamate fracture?

Two types of surgeries are commonly performed for hamate hook fractures. One involves excision of the hook itself. The other is an open reduction and internal fixation (ORIF) procedure. Of the 2 procedures, the former (excision of the hook) is considered the criterion standard.

Can the hamate bone be removed?

The most common treatment, especially for an athlete, is to surgically remove the broken hook of the hamate. 2 The reliability of recovery from this surgery is very good. Athletes typically take 6-8 weeks to recover from this surgery and return to sports.

How is hamate bone treated?

Nondisplaced fractures can generally be treated with immobilization and close follow-up. Displaced hook of the hamate fractures can be treated with fragment excision, whereas displaced body fractures generally require open reduction and rigid internal fixation.

How do you palpate a hook of hamate?

It is situated in the distal row of carpal bones on the medial side of the wrist. It has multiple articulation surfaces. The hook of hamate can be palpated on the medial side of the wrist inferior and laterally to the pisiform.

Can you feel the hook of hamate?

The hook of hamate can be palpated on the medial side of the wrist inferior and laterally to the pisiform.

What does a hook of hamate fracture feel like?

Symptoms of a hook of the hamate fracture may include: Sudden onset pain and swelling. Bruising. A sensation of “pins and needles” radiating up into the ring and pinky fingers if the has been nerve involvement in the injury.

How do you immobilize a hook of hamate fracture?

For nondisplaced hook of hamate fractures, we prefer using an ulnar gutter cast extending beyond the metacarpophalangeal (MP) joints to the ring and little fingers for 3 weeks. At 3 weeks, the MP joints are mobilized, and the wrist is immobilized for an additional 2 to 3 weeks in a splint or cast.

What is special about the hamate bone?

The hamate is one of the carpal bones that form the carpal arch, wherein the carpal tunnel is situated. It forms part of the ulnar border of the carpal tunnel. It also serves as an attachment for multiple structures such as the transverse carpal ligament (flexor retinaculum).

What muscles attach to hamate hook?

The pisiform-hamate ligament, flexor retinaculum (also known as the transverse carpal ligament), flexor carpi ulnaris tendon, opponens digiti minimi tendon, and flexor digiti minimi tendon all attach to the hook.

Is hook of hamate palpable?

The deep motor branch of the ulnar nerve travels deep along the base of the hamate bone and innervates hypothenar muscles. The hook of hamate is palpable in the hypothenar area. It is located 2 cm distal along the imaginary line from the pisiform to the second metacarpal head.

How long does it take to recover from Hook of hamate?

All patients were treated with hook of hamate excision, with 7 patients undergoing concomitant procedures as indicated. The median time to return to play was 5 weeks (range, 3-7 weeks). The time to return to play was similar between professional, collegiate, and high school athletes.

What is a hook of the hamate fracture?

Hook of hamate fractures are rare, often missed, injuries generally as a result of a direct blow to the hamate bone most commonly seen in athletes. Diagnosis is confirmed with either a radiographic carpal tunnel view or CT scan.

What is the hook of the hamate pull test?

hook of hamate pull test: hand held in ulnar deviation as patient flexes DIP joints of the ulnar 2 digits, the flexor tendons act as a deforming force on the fracture site, positive test elicits pain. motion and strength decreased grip strength.

How serious is a broken hook of Hamate in baseball?

Fractures of the hook of hamate in baseball players are significant injuries that can lead to pain and missed time from competition. The diagnosis is typically delayed because of the vagueness of symptoms and normal radiographic findings.