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Hook of Hamate Fracture
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Dec 5, 2011
Rock Climbing Photo: Enjoying 'Ground Affects'.
Does any climber have experience with or advice on a hook of hamate fracture? I injured my right hand while climbing in mid-September. An MRI reveals:

"Hook of hamate frature with a 1.5mm gap between hook and body of the hamate. No fracture healing by MRI."

Since the injury I have continued to climb outdoors but at lower grades. I refrained from training and only casually climbed at the gym. I am unable to use my grip strengthener. Push-ups are painful. That said I am able to work mid-11s outdoors with only an Aleve.

Has anyone experienced a similar issue? If so did you undergo surgery to excise the hook? I am under the impression that it will not heal on its own, is this correct?

Thanks in advance.
From Tucson, AZ
Joined Sep 1, 2007
3,495 points
Jan 17, 2012
Rock Climbing Photo: Me at the summit of Inner Course (5.4) in the Outl...
I thought I had fractured mine once, and had a long discussion with the doc about it. His take was that even if it did heal on its own, it should be removed once fractured. The bone scar will be rough, and has a significant probability of wearing through the tendon that glides on it. The surgery to repair a severed tendon is much more invasive. His opinion was that removal had minimal side effects. If you have not done so already, go see a hand specialist and discuss your options. KathyS
From Poughkeepsie, NY
Joined Nov 16, 2007
137 points

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