S62.142

Clinical Causes: Fell onto an outstretched hand from a height Direct blow or trauma to the wrist during sports or accidents Motor vehicle accidents Crush injuries to the wrist Sports injuries involving falls or direct impacts, especially in activities like baseball, hockey, or weightlifting

Key Symptoms: Pain at the base of the palm, especially on the ulnar side of the wrist Swelling and tenderness around the hamate area Difficulty gripping or holding objects Bruising around the wrist Limited range of motion or stiffness in the wrist Possible numbness or tingling if nearby nerves are impacted

Diagnosis Path: Identifying a displaced hamate fracture involves a thorough physical examination and imaging studies. Key diagnostic steps include: - Clinical assessment to evaluate pain, swelling, and range of motion - X-rays of the wrist to visualize the fracture and assess displacement - If further detail is needed, advanced imaging like CT scans may be employed to determine the exact fracture pattern and displacement. Accurate diagnosis is crucial because displaced fractures often require more complex treatment to restore proper alignment and joint function.

Treatment Protocols: Treatment for a displaced hamate fracture typically depends on the severity and stability of the fracture: - **Immobilization:** A cast or splint to keep the wrist and hand immobile, facilitating natural healing. - **Surgical intervention:** If the fracture is significantly displaced or unstable, surgery may be necessary. Surgical options can include: - Open reduction and internal fixation (ORIF) to realign and stabilize the bone with screws, pins, or wires. - Excision of small fracture fragments if they cannot be properly fixed. - **Post-treatment care:** Includes immobilization period, pain management, and physical therapy to restore wrist strength and flexibility. - **Rehabilitation:** Exercises to regain movement and strength after the immobilization phase.