The hook of hamate fracture is often a delayed diagnosis. There are certain mechanism of injuries, usually sporting related, that should make us be more aware of this injury.
The pull test may also help you consider this diagnosis.
Wright TW, Moser MW, Sahajpal DT. Hook of hamate pull test. J Hand Surg Am. 2010 Nov;35(11):1887-9. doi: 10.1016/j.jhsa.2010.08.024. Epub 2010 Oct 20. PMID: 20961698.
Check out the OrthoBullets Page on Hoof of Hamate Fractures by Dr Sharareh and Dr Vitale
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