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Clinics in diagnostic imaging (156). Golf-induced hamate hook fracture.
Authors:Hsien Khai Tan  Nicholas Chew  Kelvin TL Chew  Wilfred CG Peh
Affiliation:1.Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore;2.Division of Infectious Diseases, University Medicine Cluster, National University Health System, Singapore;3.Changi Sports Medicine Centre, Changi General Hospital, Singapore
Abstract:The wrist is a common site of injury and the most frequently injured body part among professional golfers. A 37-year-old, right-handed male golfer presented with pain at the ulnar aspect of his left palm, which grew worse after an initial traumatic impact from the golf club handle. There was tenderness over the hypothenar eminence of the left palm. Computed tomography of the left wrist showed an undisplaced fracture through the base of the hamate hook. The golf-induced hamate hook fracture was managed conservatively, with cessation of physical activity involving the left hand and wrist for eight weeks. The patient made a full recovery. Repetitive trauma, exacerbated by improper wrist motion, leads to typical wrist injuries affecting golfers, such as ulnar impaction syndrome, de Quervain’s disease, and tendinopathy affecting the flexor carpi ulnaris and extensor carpi ulnaris, all of which can be diagnosed on imaging.
Keywords:golf injury   hamate fracture   tendinopathy   ulnar impaction syndrome   wrist injury
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