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Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations

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Hook of hamate pull test.

Thomas W Wright¹, Michael W Moser, Deenesh T Sahajpal

¹Department of Orthopaedics and Rehabilitation, College of Medicine, University of Florida, Gainesville, FL 32607, USA. wrightw@ortho.ufl.edu

The Journal of Hand Surgery

|October 22, 2010

Summary

This summary is machine-generated.

Hook of hamate fractures, often missed, can be diagnosed with the hook of hamate pull test. This sensitive physical exam is key for identifying these wrist fractures in athletes with persistent palm pain.

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Area of Science:

Orthopedic Surgery
Sports Medicine
Radiology

Background:

Hook of hamate fractures are frequently overlooked in clinical practice.
Diagnosis is often delayed despite characteristic patient history.

Purpose of the Study:

To introduce and validate the hook of hamate pull test for diagnosing hook of hamate fractures.
To highlight the diagnostic utility of this specific physical examination maneuver.

Main Methods:

A novel physical examination test, the hook of hamate pull test, was developed.
The test's sensitivity was evaluated in a series of patients with confirmed hook of hamate fractures.

Main Results:

The hook of hamate pull test demonstrated high sensitivity.
The test was positive in all 5 consecutively treated patients with hook of hamate fractures.
Patients presented with a history of racket/club sports and chronic wrist/palm pain.

Conclusions:

The hook of hamate pull test is a valuable diagnostic tool for hook of hamate fractures.
Early identification of these fractures can be improved through this physical examination technique.
Consideration of this test is crucial for athletes experiencing persistent wrist pain.