Hamate Fracture on Wrist X-Ray



- point tenderness over the hamate should raise suspicion for a fracture, and if plain films are negative a CT should be considered

- hook of hamate and non-displaced body fractures can be splinted in the ED with a volar splint and prompt outpatient orthopedics follow up

- non-union of hamate hook fractures is common and many ultimately require surgery

- displaced body fractures and fractures with associated signs of neurovascular injury require ORIF



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