The Gasp Heard Round Kane County

Kane County with a collective D'oh...
Albert Almora tweets he sustained a broken hamate bone in the distal wrist today.

Not a good day! Broke my Hamate bone!


Sun-Times scribe Gordon Wittenmeyer writes that the injury occurred while swinging a bat and Almora will get surgery on this injury.

...he broke the hamate bone, pre­sumably in his left hand. It’s a fairly common injury in hitters’ bottom hand. Almora broke the bone swinging a bat and will require minor surgery. The Cubs said he will need three-to-four weeks before resuming baseball activity. Almora is projected to open the season at Class A Kane County, and he’ll begin on the disabled list. He should return to game action in late May.

The hamate is a small bone in the distal or 2nd row of wrist bones just below the 4th/5th metacarpal (ring and little finger side hand bones). The bone has an unusual shape with a hook configuration. The fracture occurs most commonly in the connection between the base of the bone and the hook. Conventional wrist X-Rays often do not show this fracture but a specific additional view that is tangential to the wrist (carpal canal view) will show the fracture. Thus, it can be easily missed if not seen by a physician who is familiar with this injury and requests this additional view. If it's still in question, Computerized (CT) Imaging or MRI Imaging will confirm this fracture. Often hook of the hamate fractures do not heal  with rest and immobilization and so it's now common for athletes to get iinitial surgical treatment with excision of the hook fragment. Giants 3B Pablo (Big Panda) Sandoval, Rockie SS Troy Tulowitzki, Oriole OF Nick Markakis, Red Sox 2B Dustin Pedroia and Phillie OF Domonic Brown are recent players with hamate fractures and their stories are attached to the links I included. This injury is not nearly as serious as the distal radius wrist fracture that Derrek Lee sustained (back in 2006) because it's more distal in the palm and not as likely to impact wrist movement. Hook of the hamate fractures create issues with grip tenderness such as holding a bat but usually does not diminish bat speed. So if all goes well, Albert Almora should be able to return to hitting activity in about 6 weeks.

There IS a lot written about hamate fractures in baseball players, so here are a few links to the anatomy, imaging and treatment..after the jump.

1- Recent abstract on Hamate fractures in baseball players (American Association for Hand Surgery).

2- Yahoo article on hamate fractures in baseball

3- CT Scan of fractured hamate, front/side CT views

4- Labeled diagram of all wrist bones including the hamate. The metacarpal bones are at the top of the image. The major wrist bones, the radius and ulna are below the carpal bones at the bottom of the image.

5- Video slide show wtih more information than needed (some of the Hamate fracture patterns presented here are quite rare) but it does contain some good diagrams and information.

D'Oh!

Comments

Love the video slide show, esp. the "Orthopaedic Humor" bit at the end, which was kind of lame -- but, hey, they tried. It did allow me to visualize the "hook" fracture well, as you described it. I really appreciate your primer on this injury (and the others you've done in the past).

here is a less lame attempt at orthopedic humor...

"There is a fracture, I need to fix it"

http://www.youtube.com/watch?v=q0S5EN7-RtI

"The patient is well except for a condition I have not seen before...Asystole."

Not lame -- pretty dang funny.

I know every injury is different, but Cubs minor league 3B Dustin Geiger suffered a broken hamate bone taking BP the last day of Minor League Camp last year (April 1st), He then had surgery, and eventually returned to game action at Extended Spring Training on May 19th (about seven weeks later) and then moved-up to Peoria in June.

Geiger initially struggled (hitting 227/261/318 with two doubles in seven games at EXST), but then he hit 251/301/465 with 17 HR in only 75 games for Peoria over the second half of the season. and Geiger is not the prospect that Almora is. 

So Almora could very well return to game action at Extended Spring Training as early as the first week of May, and then perhaps move up to Kane County when EXST concludes the first week of June (if not earlier).   

Trey Martin should be the starting CF at Kane County the first couple of months of the season, and while he's not Albert Almora, he is a pretty good prospect in his own right.  

Hope he's fine, looking forward to going to Kane County to see him, Baez and Soler.

Baez and Soler will probably be in Daytona though yeah?

DUSTY B: Both Baez and Soler will be at Daytona, and Pierce Johnson, Juan Carlos Paniagua, Ben Wells, Dan Vogelbach and Reggie Golden could very well be there, too. 


It looks like the Daytona Cubs will be the "crown jewel" affiliate, at least at the start of the season.

Paniagua ia accounted for, then? I was worried he'd be in some border-town hotel until July awaiting permission to cross.

TIM: I am presuming Paniagua will be acounted for eventually.

well shoot.

MiLB Transactions is listing Starling Peralta being assigned to the Iowa Cubs. The D-Backs must have sent him back to the Cubs.

...and yesterday Barret Loux was assigned to the minor league camp

HAGSAG: Yes. The Cubs reclaimed Starling Peralta after waivers were secured, so the Cubs got $50,000 from AZ when Peralta was drafted, and returned half of that ($25,000) to the D'backs when they reclaimed Peralta.  


Per MLB Rules, Peralta technically had to be sent outright to the reserve list of the minor league club from which he was drafted (AAA Iowa), even though he will almost certainly be assigned to  the Tennessee or Daytona squad at Minor League Camp,


Peralta wil probably be a rotation starter at Daytona in 2013, and he will be eligible for selection in the 2013 Rule 5 Draft if he is not added to an MLB 40-man roster by 11/20, 

here is the cubs.com link to current transactions through 3/14...

http://chicago.cubs.mlb.com/team/transactions.jsp?...

televised cubs baseball on WGN...woo!

Hawk doing the game....boo!

the announce crew seems to be totally ignoring any cubs action happening on the field...continuing interviews and talking while play is going on...not even acknowledging it...such as the brad nelson double that just happened without even a mention...or the fielding error that led to valbuena reaching 1st and nelson moving to 3rd...

they seem to be too lazy to actually look at the numbers on the back of the jerseys and put a name to them...

Well Feldman is in mid-season form...guh.

look on the bright side...i bet he can at least half his current 10.00+ ERA once the season gets rolling.

woo, improvement.

this is the only signing of the off-season that weirded me out. some i thought were "meh" or unnecessary, but i still don't get the feldman signing.

this game keeps sucking by the minute...grand slam viciedo (off rondon).

1-9 chc/wsox, bottom 4...

feldman - 3.2ip 7h 2bb 2k 7er (11.81 total ST ERA)

holy crap...

i finally get to see z.rosscup...and he loads the bases with 0 outs on 3 straight walks. mega-fail.

john "who dat" andreoli 2r HR top 9th...looks like a minor league bench filling invitee to the game today...

WSOX win 15-3.

hj lee + r.chirinos optioned to AAA (TB) to join c.archer...b.guyer might break with the club, he's 27, not much left to show in AAA.

Recent comments

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  • probably saturday depending on what they do with hammel (assuming friday for ham).

    crunch 1 hour 4 min ago view
  • Lester is going to get one more start, right? It sure would be nice to see him get a shot at 20 wins.

    Charlie 1 hour 34 min ago view
  • Nicely done! I think in my 10-14 games I went .500 or a little over. Strangely, I went to the Cards games they mostly lost (incl Saturday) and the one SF game they lost, plus a couple Brewers games they lost, too. I should have gone to just Reds games. But still - saw mostly very good baseball on the North Side this year. Regardless of what happens come October - the Cubs are positioned for some good times in the next 3-5 years.

    The E-Man 2 hours 59 min ago view
  • Attaboy!

    billybucks 3 hours 52 min ago view
  • First Cub victory at home this year for me!
    1-3
    Saw all four starters this year

    jacos 5 hours 15 min ago view
  • RIP Arnie. We could use a lot more like you -- a man who succeeded and failed on his own terms, a true original, and, finally, a remarkable example of graciousness towards others.

    billybucks 13 hours 11 min ago view
  • Cubs finish 33 over at home. I was, personally, one game over at 3-2, which was one of my better years in a while.

    I do hope that's the last time we see the Cardinals this year. A lot of power, which is dangerous, particularly in a short series, and they have really shut down KB all year.

    Oh, and Jon Lester? Damn!

    billybucks 13 hours 23 min ago view
  • Yes. Boating accident at 3AM. Very sad, but stupid. Young men do stupid things.

    billybucks 14 hours 18 min ago view
  • lester puts 2 on and is taken out at 96 pitches. oh well.

    edwards in.

    crunch 15 hours 3 min ago view
  • 2 out in the 7th, lester at 84 pitches, ross taken out for the standing O.

    it's possible contreras will catch lester for another inning+.

    crunch 15 hours 9 min ago view
  • What a weird day.  Jose Fernandez and Arnold Palmer, but then Scully and, on a much more modest level, Ross....

    Transmission 15 hours 42 min ago view
  • d.ross gets his 2nd standing O on the night (last home game of the season)...hits HR #10...curtain call. baseball.

    crunch 15 hours 45 min ago view
  • as a fan, he only "owes" us the game on the field and not getting in the way of others on his team being ready to play (imo).

    it's exponentially worse to his family and friends, but this dude most likely had 15+ years of play left and even though he just turned 24 a couple months ago he had already established himself as a top guy in the game.

    crunch 19 hours 7 min ago view
  • Carrie Muskat [email protected]

    Updated #Cubs probs vs Pirates: Mon, Hendricks vs Kuhl; Tue, Lackey vs Vogelsong; Wed, Arrieta vs Taillon; Thu, Zastryzny vs Nova

    crunch 19 hours 29 min ago view
  • I know what you're trying to say, Charlie, that none of us feels what his loved ones must be feeling.

    On the other hand, what makes a death like this tragic is precisely the loss, based on Fernandez's youth and brilliance, to the baseball world.

    So, for example, we can say that Princess Diana's death meant more, in aggregate, to millions of admirers who didn't know her personally than to her loved ones.

    VirginiaPhil 19 hours 30 min ago view
  • boston pitching snags a couple of mlb team records...

    "Over nine innings of play, Boston's staff struck out 11 straight Tampa Bay Rays hitters Sunday, breaking the major-league record for most consecutive strikeouts in a game.

    The previous record was held by former New York Mets right-hander Tom Seaver, who struck out 10 straight hitters in 1970.

    Not only that, but with a strikeout to end the ninth, sending the game into extras, Boston's staff also struck out an MLB-record 21 batters over nine innings."

    crunch 19 hours 55 min ago view