The hook of hamate pull test evaluates for hamate fractures as a cause of wrist pain. The examiner positions the patient’s wrist in full ulnar deviation with the fingers flexed, then applies a pulling force to the ring and pinky fingers while the patient resists. This maneuver places stress on the flexor tendons that course over the hook of the hamate. The test is considered positive when it reproduces pain localized over the hook of the hamate, sometimes radiating into the palm. Sensitivity and