Jump to content
We need you! See something you could improve? Make an edit and help improve WikSM for everyone.

Hook of Hamate Pull Test

From WikiSM

Other Names

Load video
YouTube
Hook of hamate pull test[1]
A, Provocation test leading to a high level of stress on the hamate hook. Pathognomonic for hamate injuries is increase of pain under flexion of digitorum IV and V against resistance in flexed and ulnar abducted wrist. B, No pain is triggered in extended and radial abducted position of the wrist with simultaneous flexion of the fingers against resistance.[2]
  • Hook of Hamate Pull Test
  • Hamate Pull Test
  • Hook of Hamate Stress Test
  • Pull Test for Hook of Hamate Fracture
  • Resisted FDP Test for Hook of Hamate
  • Flexor Tendon Pull Test (Hook of Hamate)

Purpose

Description

  • Examiner places the wrist in full ulnar deviation with the fingers flexed.
  • Examiner pulls on the ring and pinky finger with the patient resisting the pull.
  • Positive test
    • Pain in area of the hook of hamate +/- radiating through palm.

Pathology

Evidence

Hamate Fracture

  • Wright, Thomas W et al.[1]
    • Sensitivity: "highly sensitive" with an n=5

See Also

References

  1. ↑ 1.0 1.1 Wright, Thomas W et al. “Hook of hamate pull test.” The Journal of hand surgery vol. 35,11 (2010): 1887-9. doi:10.1016/j.jhsa.2010.08.024.
  2. ↑ Lutter, Christoph, et al. "Pulling harder than the hamate tolerates: evaluation of hamate injuries in rock climbing and bouldering." Wilderness & environmental medicine 27.4 (2016): 492-499.
Created by:
Brent Fowler, DO on 26 September 2023 17:12:17
Last edited:
11 December 2025 16:31:43
Category:
Retrieved from "https://wikism.org/w/index.php?title=Hook_of_Hamate_Pull_Test&oldid=39123"