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Hamate and Pisiform Fractures in the Professional Football Player
Hamate and Pisiform F r a c t u res i n th e P ro f e s s i o n a l Football Player
Arthur C. Rettig, MD
6 to 8 weeks, but again, depending on the position and requirements of the player. Hook of the hamate fractures, although common in sports such as baseball, tennis, and golf, are quite rare in football but can occur from blunt trauma. These fractures could most likely be treated with immobilization during the season and return to play, or if healing did not occur, excision of the fragment may be recommended at the end of the season.
Hand Clin 28 (2012) 305 doi:10.1016/j.hcl.2012.05.011 0749-0712/12/$ – see front matter Ó 2012 Published by Elsevier Inc.
Arthur C. Rettig, MD Methodist Sports Medicine/ The Orthopedic Specialists 201 Pennsylvania Pkwy, Ste 100 Indianapolis, IN 46280, USA E-mail address: [email protected]
hand.theclinics.com
Fractures of the pisiform and hamate bone are both quite rare in professional football. According to the National Football League (NFL) Injury Surveillance System, which includes the last 30 years of play in the NFL, only 1 case of a hamate fracture has been reported, but none of pisiform fractures. The hamate injury occurred to a wide receiver and was a nondisplaced body fracture. It was treated with casting and a playing cast that allowed the player to return to play in 9 days following his injury. The return to play after a fracture of the hamate or pisiform depends on the position of the injured player. A lineman or linebacker who could play in a playing cast or splint could return much faster, most likely in 1 to 2 weeks, after an injury, unless the bone was severely displaced and required surgery. If the fracture occurred in a skilled position player such as a receiver, running back, or quarterback, the return would be most likely after
Arthur C. Rettig, MD
6 to 8 weeks, but again, depending on the position and requirements of the player. Hook of the hamate fractures, although common in sports such as baseball, tennis, and golf, are quite rare in football but can occur from blunt trauma. These fractures could most likely be treated with immobilization during the season and return to play, or if healing did not occur, excision of the fragment may be recommended at the end of the season.
Hand Clin 28 (2012) 305 doi:10.1016/j.hcl.2012.05.011 0749-0712/12/$ – see front matter Ó 2012 Published by Elsevier Inc.
Arthur C. Rettig, MD Methodist Sports Medicine/ The Orthopedic Specialists 201 Pennsylvania Pkwy, Ste 100 Indianapolis, IN 46280, USA E-mail address: [email protected]
hand.theclinics.com
Fractures of the pisiform and hamate bone are both quite rare in professional football. According to the National Football League (NFL) Injury Surveillance System, which includes the last 30 years of play in the NFL, only 1 case of a hamate fracture has been reported, but none of pisiform fractures. The hamate injury occurred to a wide receiver and was a nondisplaced body fracture. It was treated with casting and a playing cast that allowed the player to return to play in 9 days following his injury. The return to play after a fracture of the hamate or pisiform depends on the position of the injured player. A lineman or linebacker who could play in a playing cast or splint could return much faster, most likely in 1 to 2 weeks, after an injury, unless the bone was severely displaced and required surgery. If the fracture occurred in a skilled position player such as a receiver, running back, or quarterback, the return would be most likely after