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A hamate fracture, commonly seen in sports that involve swinging motions, can require surgery to repair the damage. Rest and ice may be sufficient for minor fractures, but physical therapy is recommended. Surgery may involve removing part of the hook bone and can result in impaired grip or nerve damage.
The hamate bone is one of the bones found in the hand and the term used for a break of this bone is a hamate fracture. While this type of fracture can happen to anyone, it’s most commonly seen among those who participate in sports that require the use of a bat, mallet, or racket. Those with a history of falling on outstretched hands may also be particularly vulnerable to developing a hook fracture. Treatment of this type of fracture often requires surgery to repair the damage to the surrounding bone and tissue. Any questions or concerns about a hook fracture or the most appropriate treatment options in an individual situation should be discussed with a doctor or other medical professional.
The wedge-shaped bone known as the hamate contains a hook-shaped projection that is particularly vulnerable to injury among those who participate in sports that involve a swinging motion of the hand. Indeed, it is this projection that is most affected by a hook fracture. This type of fracture is easily missed on a plain x-ray, so further diagnostic tests, such as a CT scan or MRI, are often needed to get an accurate diagnosis.
A minor hook fracture may not require any type of invasive medical treatment. In these cases, resting the affected hand and applying ice to the area may be sufficient treatment options while the body works to heal the fracture naturally. Over-the-counter or prescription medications may be needed, depending on the severity of the discomfort. Physical therapy can be helpful to make sure the muscles in your hand are getting gentle enough exercise to stay healthy during the healing process. Doctor’s orders must be followed precisely to avoid further injury.
In most cases, a hook fracture will require surgery. This is especially true if nerves or blood vessels become compressed, causing problems with circulation or movement. Depending on the severity of the fracture, part of the hook bone may need to be completely removed. After the bone and surrounding tissue that has been damaged has been repaired, the affected hand is often placed in a cast for several weeks so that the hand remains immobile and no further damage occurs. Possible side effects of hook fracture surgery include permanently impaired grip and temporary or permanent nerve damage in the hand.
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