Oh, Hey, Anthony Alford’s On the DL

In the past, these injuries could have been managed conservatively with casting and immobilization, but it has been found that this causes lack of rejoining of the bones. Now, the standard of care is to do surgical intervention. As mentioned by [then-Marlins back-up infielder Jeff] Baker, the usual method is to excise or remove the hook of the hamate. Removal of the hook removes the attachments of a few ligaments and muscles, so there is a concern for decreased grip strength in the future, but the alternative of open reduction and internal fixation of the bones shows no difference in grip strength.

After that, the patient undergoes physical therapy for recovery. It includes allowing time for wound healing and slowly rebuilding strength. Timing for recovery is different for individuals and depends on what level of activity is needed afterwards. Excision of the hook allows for immediate beginning of therapy, with a likely progression to full activities within six to eight weeks. Other surgical options involve casting for two weeks followed by physical therapy, making hook removal the best option for an athlete like Stanton.