Healing Hamate Fractures: From Cast to Comeback

Conservative Care: When Casts Come First

For many hamate fractures, especially non-displaced ones, treatment starts with immobilization. A short arm cast that includes the ring and little fingers is typically used. The wrist is placed in slight flexion to reduce tension on the hamate hook. This cast stays on for 4-6 weeks, sometimes longer for hook fractures.

Surgical Solutions: When Casts Aren't Enough

Surgery may be necessary for displaced fractures, fracture-dislocations, or cases that don't improve with casting. For hook fractures, excision (removal) of the fractured piece is common, especially in athletes needing a quick return to play. Some surgeons may attempt to fix the fracture with small screws instead.

The Comeback Trail: Rehabilitation and Return to Activity

After the cast comes off, the real work begins. Patients typically start with gentle stretching exercises to regain mobility. Strengthening exercises follow as healing progresses. For those who've had surgery, return to full activity often takes 6-7 weeks, though some may need up to 3 months.

Frequently Asked Questions

Key Takeaways

With proper treatment and dedication to rehabilitation, most patients with hamate fractures can expect a full recovery.

Related Articles

• What's the Deal with Hamate Fractures? The Sneaky Wrist Injury You Might Miss
• Cracking the Case: How Doctors Diagnose Tricky Hamate Fractures
• Swing With Caution: Why Some Athletes Are at High Risk for Hamate Fractures
• Is It Just a Bruise? Spotting the Subtle Signs of a Hamate Fracture

References