Which physical findings suggest hook fracture in ulnar-sided wrist pain?

Updated: Apr 26, 2021
  • Author: David M Lichtman, MD; Chief Editor: Harris Gellman, MD  more...
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The hook of the hamate is located by identifying the pisiform and then palpating along a line from the pisiform to the head of the second metacarpal. The hook lies approximately 2 cm from the pisiform. Although firm pressure over a fractured hook generally causes discomfort, mild to moderate pressure may cause little pain. In hook fractures, abduction and adduction of the small finger against resistance is often uncomfortable.

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