History and Physical Exam
Fractures of the hook occur from a direct blow. This can occur during a FOOSH injury or impact to the palmar surface of the hand from swinging a racquet, bat or club.Patients complain of pain just proximal to the 4thor 5thmetacarpals. On examination, there is pain and swelling in this area, as well as about the hypothenar eminence where the hook of the hamate lies. Assess sensation and function of the ulnar nerve.