Hook of Hamate Pull Test

Hook of Hamate Pull Test

What is the “Hook of Hamate Pull Test” used for?

  • Fractures of the hook of the hamate

How to perform the “Hook of Hamate Pull Test”?

  • The patient’s wrist is placed in ulnar deviation (bent towards the little finger side).
  • Ask the patient to flex the fingers (make a fist) against resistance.

What is the positive result?

  • A positive test elicits sharp, localized pain at the ulnar side of the wrist — typically near the base of the hypothenar eminence.
  • A positive Hamate Pull Test is highly associated with hook of hamate fractures