00:00There's eight little wrist bones, and one of them is called the hamate. Now, the hamate has a hook
00:06on it. And in baseball players, tennis players, golf players, where there's a handle, like the
00:13bat, sometimes that bat is repeatedly banging into that hamate. So if it repeatedly does it,
00:19but it doesn't break it, it doesn't fracture it, they can get a stress reaction. It means the bone
00:25is irritated, it's inflamed, and it can act like a fracture. I mean, it could be as painful as if
00:31the bone is broken. So that's a stress reaction. Usually it's from repeated impacts of the bat
00:37against where that palm region where the hamate lives. Is this a common injury for people who
00:45aren't Francisco Lindor or a professional athlete? And how would you treat them compared to a Lindor?
00:51So non-professional athletes, really not a common injury. But again, with racket sports,
00:58baseball, tennis, golf, we see this injury, not common, but it does happen. If it's a broken or
01:06a fractured hook of the hamate, across the board, these do well with surgery. If it's a stress reaction
01:13in a non-elite athlete, we would typically give a trial of non-surgical treatment,
01:20but it would be shared decision-making with the patient because there's a good chance that even
01:25without surgery, they still may ultimately need the surgery after six to eight weeks.
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