Concomitant hook of hamate fractures in patients with scaphoid fracture: more common than you might think

• DOI: 10.1007/s00256-017-2814-3
• Publication Date: 2017-11-16T05:23:43Z
• Authors: Ramin Mandegaran; Sam Gidwani; Ali Zavareh
• Keywords: Scaphoid fracture; Concomitant; Occult; Scaphoid bone; Carpal bones; Hook; Wrist pain

The scaphoid is the most commonly fractured carpal bone. presence of a concomitant hook hamate fracture particular relevance given that it often occult on routine wrist/scaphoid radiographs and fractures are prone to symptomatic non-union, resulting in chronic ulnar wrist pain. Prompt diagnosis immobilisation/fixation may minimise such complications. Our study aimed at assessing frequency patients with fractures.Hook radiographs. Hence, we identified all 2,568 CT MRI studies performed investigate our institution from April 2005 March 2016. Three hundred twelve out cases were confirmed have fracture. Images then retrospectively reviewed by Consultant Musculoskeletal Radiologist Trainee assess for and, if present, whether this was initial reporting.Concomitant 10.3% (32 312, 30 CT, 2 MRI); minimally/non-displaced. Sixty percent missed review (18 30). Both had been initially reported.Scaphoid associated higher than expected rates Given potential morbidity fracture, should be considered area when investigating injury. These minimally displaced, hence easily overlooked CT. therefore superior radiographically fractures.