title: [A review of the position adopted by patients when acquiring images of the base of the hamate hook].
abstract: The hamate bone, one of the carpal (wrist) bones, has a large uncinate process protruding from the palm side. In sports such as golf and tennis, the hamate bone can break if is subjected to a high external force, such as from the handle of a racquet or club. At our hospital we take X-ray images of the hamate bone from two directions: an axial image through the carpal tunnel and an image at the base of the hamate hook (conventional method). While the conventional method makes it easy to create images of the base of the hamate hook, the patient may suffer pain during image-taking because the hamate bone is pulled to cause radial flexion. We therefore investigated a method of imaging that would create three-dimensional computed tomography (3DCT) images of the base of the hamate hook in which the patient would only have to only rotate the wrist externally and elevate the fore-arm without any radial flexion. Our results suggest that it is possible to obtain images of the base of the hamate hook as clear as those acquired using the conventional method with the patient in a comfortable and painless position taking images at an external rotation angle of 50.3° and a forearm elevation angle of 20.3°.
authors: Department of Radiology, Showa University Hospital.
authors: Shunsuke
authors: S
authors: Takamatsu
authors: Seiichirou
authors: S
authors: Miyakawa
authors: Hisaya
authors: H
authors: Sato
authors: Wataru
authors: W
authors: Suzuki
authors: Takeshi
authors: T
authors: Nishizawa
authors: Masami
authors: M
authors: Nakamura
authors: Hirotaka
authors: H
authors: Umeda
authors: Shogo
authors: S
authors: Sai
authors: Kyoichi
authors: K
authors: Kato
authors: Yasuo
authors: Y
authors: Nakazawa
authors: Jun
authors: J
authors: Ikeda
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D051225:Hamate Bone / Q000000981:diagnostic imaging*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D011187:Posture; D014057:Tomography, X-Ray Computed