- Injury is frequently related to blunt trauma at the end of a swing: golf club, baseball bat, tennis racket.
- Use Carpal Tunnel View X-ray to diagnose.
- Obtain contralateral X-rays for comparison.
- Hook fractures have high rates of non-union and can require excision of the hamate hook.
- Displaced body fractures generally require surgery.
Can be associated with fracture of the 4th or 5th metatarsal fractures.