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{{Short description|Carpal bone in the wrist}}
{{redirect|Hamatum|its use in taxonomy|List of Latin and Greek words commonly used in systematic names#H{{!}}List of Latin and Greek words commonly used in systematic names}}
{{redirect|Hamatum|its use in taxonomy|List of Latin and Greek words commonly used in systematic names#H{{!}}List of Latin and Greek words commonly used in systematic names}}
{{Infobox bone
{{Infobox bone
| Name = Hamate bone
| Name = Hamate bone
| Latin = Os hamatum
| Latin = os hamatum
| Image = Hamate bone (left hand) 01 palmar view.png
| Image = Hamate bone (left hand) 01 palmar view.png
| Caption = Left hand anterior view (palmar view). Hamate bone shown in red.
| Caption = Left hand anterior view (palmar view). Hamate bone shown in red.
Line 13: Line 14:
}}
}}


The '''hamate bone''' (from [[Latin language|Latin]] [[wiktionary:hamatus|hamatus]], "hooked"), or '''unciform bone''' (from [[Latin language|Latin]] ''[[wikt:uncus|uncus]]'', "hook"), Latin '''os hamatum''' and occasionally abbreviated as just '''hamatum''',<ref>{{Cite journal|last1=Gdoura|first1=F.|last2=Trigui|first2=M.|last3=Ellouze|first3=Z.|last4=Hamed|first4=Y. B.|last5=Ayadi|first5=K.|last6=Keskes|first6=H.|date=October 2010|title=Hamatum osteoblastoma|url=https://pubmed.ncbi.nlm.nih.gov/20692218/|journal=Orthopaedics & Traumatology, Surgery & Research: OTSR|volume=96|issue=6|pages=712–716|doi=10.1016/j.otsr.2010.02.014|issn=1877-0568|pmid=20692218}}</ref><ref>{{Cite journal|last1=Mei|first1=Guo-Hua|last2=Wang|first2=Hai-Ming|last3=Fan|first3=Cun-Yi|last4=Zhang|first4=Chang-Qing|last5=Zeng|first5=Bing-Fang|date=October 2014|title=Possibility of the hamatum carpometacarpal joint as a new joint donor site for interphalangeal joint restoration|url=https://pubmed.ncbi.nlm.nih.gov/23982116/|journal=European Journal of Orthopaedic Surgery & Traumatology: Orthopedie Traumatologie|volume=24|issue=7|pages=1175–1180|doi=10.1007/s00590-013-1300-4|issn=1633-8065|pmid=23982116|s2cid=25697262 }}</ref><ref>{{Cite journal|last1=Alp|first1=Nazmi Bülent|last2=Kaleli|first2=Tufan|last3=Kalay|first3=Onur Can|last4=Karpat|first4=Fatih|last5=Akdag|first5=Gokhan|last6=Macunluoglu|first6=Aslı Ceren|last7=Oral|first7=Gamze Saygı|date=2020|title=The Effect of Hamatum Curvature Angle on Carpal Tunnel Volumetry: A Mathematical Simulation Model|journal=Computational and Mathematical Methods in Medicine|volume=2020|pages=7582181|doi=10.1155/2020/7582181|issn=1748-6718|pmc=7312712|pmid=32617118|doi-access=free }}</ref> is a bone in the human [[wrist]] readily distinguishable by its wedge shape and a hook-like process ("hamulus") projecting from its [[Radioulnar|palmar]] surface.
The '''hamate bone''' (from [[Latin language|Latin]] [[wiktionary:hamatus|hamatus]], "hooked"), or '''unciform bone''' (from [[Latin language|Latin]] ''[[wikt:uncus|uncus]]'', "hook"), Latin '''os hamatum''' and occasionally abbreviated as just '''hamatum''',<ref>{{Cite journal|last1=Gdoura|first1=F.|last2=Trigui|first2=M.|last3=Ellouze|first3=Z.|last4=Hamed|first4=Y. B.|last5=Ayadi|first5=K.|last6=Keskes|first6=H.|date=October 2010|title=Hamatum osteoblastoma|journal=Orthopaedics & Traumatology, Surgery & Research: OTSR|volume=96|issue=6|pages=712–716|doi=10.1016/j.otsr.2010.02.014|issn=1877-0568|pmid=20692218|doi-access=free}}</ref><ref>{{Cite journal|last1=Mei|first1=Guo-Hua|last2=Wang|first2=Hai-Ming|last3=Fan|first3=Cun-Yi|last4=Zhang|first4=Chang-Qing|last5=Zeng|first5=Bing-Fang|date=October 2014|title=Possibility of the hamatum carpometacarpal joint as a new joint donor site for interphalangeal joint restoration|url=https://pubmed.ncbi.nlm.nih.gov/23982116/|journal=European Journal of Orthopaedic Surgery & Traumatology: Orthopedie Traumatologie|volume=24|issue=7|pages=1175–1180|doi=10.1007/s00590-013-1300-4|issn=1633-8065|pmid=23982116|s2cid=25697262 }}</ref><ref>{{Cite journal|last1=Alp|first1=Nazmi Bülent|last2=Kaleli|first2=Tufan|last3=Kalay|first3=Onur Can|last4=Karpat|first4=Fatih|last5=Akdag|first5=Gokhan|last6=Macunluoglu|first6=Aslı Ceren|last7=Oral|first7=Gamze Saygı|date=2020|title=The Effect of Hamatum Curvature Angle on Carpal Tunnel Volumetry: A Mathematical Simulation Model|journal=Computational and Mathematical Methods in Medicine|volume=2020|pages=7582181|doi=10.1155/2020/7582181|issn=1748-6718|pmc=7312712|pmid=32617118|doi-access=free }}</ref> is a bone in the human [[wrist]] readily distinguishable by its wedge shape and a hook-like process ("hamulus") projecting from its [[Radioulnar|palmar]] surface.


==Structure==
==Structure==
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===Hook===
===Hook===
[[File:Hamulus of hamate (left hand) - animation02.gif|thumbnail|Hamate bone of the left hand. Hamulus shown in red.]]
[[File:Hamulus of hamate (left hand) - animation02.gif|thumbnail|Hamate bone of the left hand. Hamulus shown in red.]]
The ''hook of hamate'' ({{lang-la|hamulus}}) is found at the proximal, ulnar side of the hamate bone. The hook is a curved, hook-like process that projects 1–2&nbsp;mm distally and radially.<ref name=EATHORNE2005>{{cite journal|last=Eathorne|first=SW|title=The wrist: clinical anatomy and physical examination—an update.|journal=Primary Care|date=March 2005|volume=32|issue=1|pages=17–33|pmid=15831311|doi=10.1016/j.pop.2004.11.009}}</ref> The ulnar nerve hooks around the hook of hamate as it crosses towards the medial side of hand.
The ''hook of hamate'' ({{lang-la|hamulus}}) is found at the proximal, [[ulnar]] side of the hamate bone. The hook is a curved, hook-like process that projects 1–2&nbsp;mm distally and radially.<ref name=EATHORNE2005>{{cite journal|last=Eathorne|first=SW|title=The wrist: clinical anatomy and physical examination—an update.|journal=Primary Care|date=March 2005|volume=32|issue=1|pages=17–33|pmid=15831311|doi=10.1016/j.pop.2004.11.009}}</ref> The [[ulnar nerve]] hooks around the hook of hamate as it crosses towards the medial side of hand.


The hook forms the ulnar border of the [[carpal tunnel]], and the radial border for [[Guyon's canal]]. Numerous structures attach to it, including ligaments [[pisohamate ligament|from the pisiform]], the transverse carpal ligament, and the tendon of [[Flexor carpi ulnaris]].<ref name=EATHORNE2005 />
The hook forms the ulnar border of the [[carpal tunnel]], and the radial border for [[Guyon's canal]]. Numerous structures attach to it, including ligaments [[pisohamate ligament|from the pisiform]], the transverse carpal ligament, and the tendon of [[flexor carpi ulnaris]].<ref name=EATHORNE2005 />


Its medial surface to the [[Flexor digiti minimi brevis (hand)|flexor digiti minimi brevis]] and [[opponens digiti minimi]]; its lateral side is grooved for the passage of the [[flexor tendons]] into the palm of the hand.
Its medial surface to the [[flexor digiti minimi brevis (hand)|flexor digiti minimi brevis]] and [[opponens digiti minimi]]; its lateral side is grooved for the passage of the [[flexor tendons]] into the palm of the hand.


===Development===
===Development===
The ossification of the hamate starts between 1 and 12 months.<ref name=CHLT>{{cite journal|last1=Balachandran|first1=Ajay|last2=Kartha|first2=Moumitha|last3=Krishna|first3=Anooj|last4=Thomas|first4=Jerry|last5=K|first5=Prathilash|last6=TN|first6=Prem|last7=GK|first7=Libu|last8=B|first8=Krishnan|last9=John|first9=Liza|title=A Study of Ossification of Capitate, Hamate, Triquetral & Lunate in Forensic Age Estimation|journal=Indian Journal of Forensic Medicine & Toxicology|date=2014|volume=8|issue=2|pages=218–224|doi=10.5958/0973-9130.2014.00720.8|url=http://www.indianjournals.com/ijor.aspx?target=ijor:ijfmt&volume=8&issue=2&article=052|access-date=18 August 2014|issn=0973-9130}}</ref> The hamate does not fully ossify until about the 15th year of life.<ref name=EATHORNE2005 />
The ossification of the hamate starts between 1 and 12 months.<ref name=CHLT>{{cite journal|last1=Balachandran|first1=Ajay|last2=Kartha|first2=Moumitha|last3=Krishna|first3=Anooj|last4=Thomas|first4=Jerry|last5=K|first5=Prathilash|last6=TN|first6=Prem|last7=GK|first7=Libu|last8=B|first8=Krishnan|last9=John|first9=Liza|title=A Study of Ossification of Capitate, Hamate, Triquetral & Lunate in Forensic Age Estimation|journal=Indian Journal of Forensic Medicine & Toxicology|date=2014|volume=8|issue=2|pages=218–224|doi=10.5958/0973-9130.2014.00720.8|url=http://www.indianjournals.com/ijor.aspx?target=ijor:ijfmt&volume=8&issue=2&article=052|access-date=18 August 2014|issn=0973-9130|url-access=subscription}}</ref> The hamate does not fully ossify until about the 15th year of life.<ref name=EATHORNE2005 />


===In animals===
===Other animals===
The bone is also found in many other mammals, and is [[homology (biology)|homologous]] with the "fourth distal carpal" of reptiles and amphibians.
The bone is also found in many other mammals, and is [[homology (biology)|homologous]] with the "fourth distal carpal" of reptiles and amphibians.


==Function==
==Function==
{{expand section}}
{{expand section|date=September 2022}}
The carpal bones function as a unit to provide a bony superstructure for the [[hand]].<ref name=GRAYS2005 />{{rp|708}}
The carpal bones function as a unit to provide a bony superstructure for the [[hand]].<ref name=GRAYS2005 />{{rp|708}}


==Clinical significance==
==Clinical significance==
The hamate bone is the bone most commonly [[fracture (bone)|fractured]] when a [[golf]]er hits the ground hard with a [[golf club (equipment)|golf club]] on the downswing or a hockey player hits the ice with a slap shot. The fracture is usually a [[hairline fracture]], commonly missed on normal [[radiography|X-rays]]. Symptoms are pain aggravated by gripping, tenderness over the hamate and symptoms of irritation of the [[ulnar nerve]]. This is characterized by numbness and weakness of the pinkie finger with partial involvement of the ring finger as well, the "ulnar 1½ fingers".
The hamate bone is the bone most commonly [[fracture (bone)|fractured]] when a [[golf]]er hits the ground hard with a [[golf club (equipment)|golf club]] on the downswing or a hockey player hits the ice with a slap shot. The fracture is usually a [[hairline fracture]], commonly missed on normal [[radiography|X-rays]]. Symptoms are pain aggravated by gripping, tenderness over the hamate and symptoms of irritation of the [[ulnar nerve]]. This is characterized by numbness and weakness of the fifth digit with partial involvement of the fourth digit as well, the "ulnar 1½ fingers".


The hook of hamate is particularly prone to fracture-related complications such as non-union due to its tenuous blood supply.<ref name=EATHORNE2005 />
The hook of hamate is particularly prone to fracture-related complications such as non-union due to its tenuous blood supply.<ref name=EATHORNE2005 />


It is also a common injury in [[baseball]] players. Several professional baseball players have had the bone removed during the course of their careers.<ref>{{cite news |first=Chris |last=Snow |url=http://www.boston.com/sports/baseball/redsox/articles/2006/06/01/pea_to_have_surgery/ |title=Peña to have surgery |work=The Boston Globe |date=June 1, 2006 |access-date=September 2, 2011}}</ref><ref>{{cite web |first=John |last=Manuel |url=http://www.baseballamerica.com/today/features/040331wrist.html |title=Wrist Troubles Drain Prospects' Power |publisher=Baseball America |date=March 31, 2004 |access-date=September 2, 2011}}</ref><ref>{{cite news |first=Amalie |last=Benjamin |url=http://www.boston.com/sports/baseball/redsox/articles/2007/07/27/hes_gaining_in_arms_race/ |title=He's gaining in arms race |work=The Boston Globe |date=July 27, 2007 |access-date=September 2, 2011}}</ref><ref>{{cite news |agency=Associated Press |url=http://sports.espn.go.com/mlb/news/story?id=5160329 |title=Dickerson has hand, wrist surgery |publisher=ESPN |date=May 3, 2010 |access-date=September 2, 2011}}</ref><ref>{{cite web |first=Kieran |last=Carobine |url=http://philliesnation.com/archives/2011/03/domonic-browns-surgery-a-success/ |title=Domonic Brown's Surgery A Success |publisher=Phillies Nation |date=March 8, 2011 |access-date=September 2, 2011}}</ref> This condition has been called "Wilson's Wrist".<ref>WILSON JN. Profiles of the carpal canal. ''J Bone Joint Surg Am''. 1954 Jan;36-A(1):127–132</ref>
It is also a common injury in [[baseball]] players. Several professional baseball players have had the bone removed during the course of their careers.<ref>{{cite news |first=Chris |last=Snow |url=http://www.boston.com/sports/baseball/redsox/articles/2006/06/01/pea_to_have_surgery/ |title=Peña to have surgery |work=The Boston Globe |date=June 1, 2006 |access-date=September 2, 2011}}</ref><ref>{{cite web |first=John |last=Manuel |url=http://www.baseballamerica.com/today/features/040331wrist.html |title=Wrist Troubles Drain Prospects' Power |publisher=Baseball America |date=March 31, 2004 |access-date=September 2, 2011}}</ref><ref>{{cite news |first=Amalie |last=Benjamin |url=http://www.boston.com/sports/baseball/redsox/articles/2007/07/27/hes_gaining_in_arms_race/ |title=He's gaining in arms race |work=The Boston Globe |date=July 27, 2007 |access-date=September 2, 2011}}</ref><ref>{{cite news |agency=Associated Press |url=http://sports.espn.go.com/mlb/news/story?id=5160329 |title=Dickerson has hand, wrist surgery |publisher=ESPN |date=May 3, 2010 |access-date=September 2, 2011}}</ref><ref>{{cite web |first=Kieran |last=Carobine |url=http://philliesnation.com/archives/2011/03/domonic-browns-surgery-a-success/ |title=Domonic Brown's Surgery A Success |publisher=Phillies Nation |date=March 8, 2011 |access-date=September 2, 2011}}</ref><ref>{{cite web |url= https://www.cbssports.com/fantasy/baseball/news/angels-mike-trout-undergoes-hamate-surgery/ |title=Angels’ Mike Trout: Undergoes hamate surgery |date=July 5, 2023 |publisher=CBS Sports |access-date=August 4, 2023}}</ref> This condition has been called "Wilson's Wrist".<ref>WILSON JN. Profiles of the carpal canal. ''J Bone Joint Surg Am''. 1954 Jan;36-A(1):127–132</ref>


The calcification of the unciform bone is seen on X-rays during puberty and is sometimes used in [[orthodontics]] to determine if an adolescent patient is suitable for [[orthognathic intervention]] (i.e. before or at their growth spurt).
The calcification of the hamate bone is seen on X-rays during puberty and is sometimes used in [[orthodontics]] to determine if an adolescent patient is suitable for [[orthognathic intervention]] (i.e. before or at their growth spurt).{{cn|date=January 2023}}


==Etymology==
==Etymology==
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{{DEFAULTSORT:Hamate Bone}}
{{DEFAULTSORT:Hamate Bone}}
[[Category:Skeletal system]]
[[Category:Wrist]]
[[Category:Wrist]]
[[Category:Bones of the hand]]
[[Category:Bones of the hand]]

Revision as of 08:22, 11 June 2024

Hamate bone
Left hand anterior view (palmar view). Hamate bone shown in red.
The left hamate bone
Details
Pronunciation/ˈhmət/
ArticulationsArticulates with five bones:
the lunate proximally
the fourth and fifth metacarpals distally
the triangular medially
the capitate laterally
Identifiers
Latinos hamatum
MeSHD051225
TA98A02.4.08.012
TA21259
FMA23730
Anatomical terms of bone

The hamate bone (from Latin hamatus, "hooked"), or unciform bone (from Latin uncus, "hook"), Latin os hamatum and occasionally abbreviated as just hamatum,[1][2][3] is a bone in the human wrist readily distinguishable by its wedge shape and a hook-like process ("hamulus") projecting from its palmar surface.

Structure

The hamate is an irregularly shaped carpal bone found within the hand. The hamate is found within the distal row of carpal bones, and abuts the metacarpals of the little finger and ring finger.[4]: 708–709 

Adjacent to the hamate on the ulnar side, and slightly above it, is the pisiform bone. Adjacent on the radial side is the capitate, and proximal is the lunate bone.[4]: 708–709 

Surfaces

The hamate bone has six surfaces:

  • The superior, the apex of the wedge, is narrow, convex, smooth, and articulates with the lunate.
  • The inferior articulates with the fourth and fifth metacarpal bones, by concave facets which are separated by a ridge.
  • The dorsal is triangular and rough for ligamentous attachment.
  • The palmar presents, at its lower and ulnar side, a curved, hook-like process, the hamulus, directed forward and laterally.
  • The medial articulates with the triangular bone by an oblong facet, cut obliquely from above, downward and medialward.
  • The lateral articulates with the capitate by its upper and posterior part, the remaining portion being rough, for the attachment of ligaments.

Hook

Hamate bone of the left hand. Hamulus shown in red.

The hook of hamate (Latin: hamulus) is found at the proximal, ulnar side of the hamate bone. The hook is a curved, hook-like process that projects 1–2 mm distally and radially.[5] The ulnar nerve hooks around the hook of hamate as it crosses towards the medial side of hand.

The hook forms the ulnar border of the carpal tunnel, and the radial border for Guyon's canal. Numerous structures attach to it, including ligaments from the pisiform, the transverse carpal ligament, and the tendon of flexor carpi ulnaris.[5]

Its medial surface to the flexor digiti minimi brevis and opponens digiti minimi; its lateral side is grooved for the passage of the flexor tendons into the palm of the hand.

Development

The ossification of the hamate starts between 1 and 12 months.[6] The hamate does not fully ossify until about the 15th year of life.[5]

Other animals

The bone is also found in many other mammals, and is homologous with the "fourth distal carpal" of reptiles and amphibians.

Function

The carpal bones function as a unit to provide a bony superstructure for the hand.[4]: 708 

Clinical significance

The hamate bone is the bone most commonly fractured when a golfer hits the ground hard with a golf club on the downswing or a hockey player hits the ice with a slap shot. The fracture is usually a hairline fracture, commonly missed on normal X-rays. Symptoms are pain aggravated by gripping, tenderness over the hamate and symptoms of irritation of the ulnar nerve. This is characterized by numbness and weakness of the fifth digit with partial involvement of the fourth digit as well, the "ulnar 1½ fingers".

The hook of hamate is particularly prone to fracture-related complications such as non-union due to its tenuous blood supply.[5]

It is also a common injury in baseball players. Several professional baseball players have had the bone removed during the course of their careers.[7][8][9][10][11][12] This condition has been called "Wilson's Wrist".[13]

The calcification of the hamate bone is seen on X-rays during puberty and is sometimes used in orthodontics to determine if an adolescent patient is suitable for orthognathic intervention (i.e. before or at their growth spurt).[citation needed]

Etymology

The etymology derives from the Latin hamatus "hooked," from hamus which means "hook".

Additional images

See also

References

Public domain This article incorporates text in the public domain from page 227 of the 20th edition of Gray's Anatomy (1918)

  1. ^ Gdoura, F.; Trigui, M.; Ellouze, Z.; Hamed, Y. B.; Ayadi, K.; Keskes, H. (October 2010). "Hamatum osteoblastoma". Orthopaedics & Traumatology, Surgery & Research: OTSR. 96 (6): 712–716. doi:10.1016/j.otsr.2010.02.014. ISSN 1877-0568. PMID 20692218.
  2. ^ Mei, Guo-Hua; Wang, Hai-Ming; Fan, Cun-Yi; Zhang, Chang-Qing; Zeng, Bing-Fang (October 2014). "Possibility of the hamatum carpometacarpal joint as a new joint donor site for interphalangeal joint restoration". European Journal of Orthopaedic Surgery & Traumatology: Orthopedie Traumatologie. 24 (7): 1175–1180. doi:10.1007/s00590-013-1300-4. ISSN 1633-8065. PMID 23982116. S2CID 25697262.
  3. ^ Alp, Nazmi Bülent; Kaleli, Tufan; Kalay, Onur Can; Karpat, Fatih; Akdag, Gokhan; Macunluoglu, Aslı Ceren; Oral, Gamze Saygı (2020). "The Effect of Hamatum Curvature Angle on Carpal Tunnel Volumetry: A Mathematical Simulation Model". Computational and Mathematical Methods in Medicine. 2020: 7582181. doi:10.1155/2020/7582181. ISSN 1748-6718. PMC 7312712. PMID 32617118.
  4. ^ a b c Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005). Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone. ISBN 978-0-8089-2306-0.
  5. ^ a b c d Eathorne, SW (March 2005). "The wrist: clinical anatomy and physical examination—an update". Primary Care. 32 (1): 17–33. doi:10.1016/j.pop.2004.11.009. PMID 15831311.
  6. ^ Balachandran, Ajay; Kartha, Moumitha; Krishna, Anooj; Thomas, Jerry; K, Prathilash; TN, Prem; GK, Libu; B, Krishnan; John, Liza (2014). "A Study of Ossification of Capitate, Hamate, Triquetral & Lunate in Forensic Age Estimation". Indian Journal of Forensic Medicine & Toxicology. 8 (2): 218–224. doi:10.5958/0973-9130.2014.00720.8. ISSN 0973-9130. Retrieved 18 August 2014.
  7. ^ Snow, Chris (June 1, 2006). "Peña to have surgery". The Boston Globe. Retrieved September 2, 2011.
  8. ^ Manuel, John (March 31, 2004). "Wrist Troubles Drain Prospects' Power". Baseball America. Retrieved September 2, 2011.
  9. ^ Benjamin, Amalie (July 27, 2007). "He's gaining in arms race". The Boston Globe. Retrieved September 2, 2011.
  10. ^ "Dickerson has hand, wrist surgery". ESPN. Associated Press. May 3, 2010. Retrieved September 2, 2011.
  11. ^ Carobine, Kieran (March 8, 2011). "Domonic Brown's Surgery A Success". Phillies Nation. Retrieved September 2, 2011.
  12. ^ "Angels' Mike Trout: Undergoes hamate surgery". CBS Sports. July 5, 2023. Retrieved August 4, 2023.
  13. ^ WILSON JN. Profiles of the carpal canal. J Bone Joint Surg Am. 1954 Jan;36-A(1):127–132