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Hook of Hamate Pull Test

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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:
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