Keywords
Health Care Competency
Abstract
The purpose of this disablement model case study was to outline a collegiate baseball player with an isolated hamate fracture including the injury evaluation, diagnosis, and acute management. During a tournament game, the collegiate career of the patient ended abruptly following an injury sustained while at bat. The patient attempted to bat again but encountered significant difficulty due to the increasing pain in his hand. Consequently, the athletic trainer was called out for an on-field examination. The patient presented with no edema or ecchymosis but severe pain in the hypothenar eminence. This patient also presented with decreased grip strength with no neurological symptoms. Upon palpation and the application of pressure on the pisiform, the patient forcefully removed his hand with pain reflected on his face. The patient was taken for immediate radiographs, which confirmed the suspected hamate fracture. After discussing various treatment options and considering the goals of the patient, the healthcare providers determined the surgical excision would be the most optimal approach, which the patient agreed to. There were a variety of treatment options discussed; however, in listening to the aspirations of the patient, the health care providers opted for a surgical excision as the best treatment to which the patient agreed. With the cessation of all baseball activities and the introduction of rehabilitation, this patient had to transition into a new role within the team. This transition triggered psychosocial implications and difficulties that he needed to work through. However, through acknowledging his values and goals while also providing him with ample social support, the patient experienced positive outcomes following his injury and through the rehabilitation process. This case study emphasizes that it is imperative to be cognizant of patient-centered values when deciding the prescriptions of treatment that make the patient most comfortable, considering their individual goals, perceptions of injury, and needs. These not only improve the quality of care being provided but allow the patient to have a ‘voice’ in their treatment leading to better outcomes.
Recommended Citation
De Koker, Kayleigh A.; Barton, Cory E.; and Eberman, Lindsey E.
(2026)
"Acute Management of a Hamate Fracture in a Collegiate Baseball Player: A Disablement Model Case Study,"
Clinical Practice in Athletic Training: Vol. 9:
Iss.
1, Article 5.
Available at:
https://scholars.indianastate.edu/clinat/vol9/iss1/5
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