This 55 y/o male was referred to an orthopedist because of left wrist pain of three months duration and negative x-rays. His history was remarkable in that he stated that he was an avid golfer and that the discomfort in his wrist was interfering with his golf swing. On physical exam the patient had full range of motion and no point tenderness. Repeat x-rays of the wrist by the orthopedist, including carpal tunnel views, were also negative. Because of the chronicity of the symptoms and the negative x-rays a bone scan was requested. A radiologist reviewed the previous x-rays and the bone scan and suggested a CT scan. This confirmed the diagnosis of a fracture of the hook of the hamate. This uncommon fracture has been associated with golf and other "racket" sports and should be suspected in patients who participate in these sports and who present with chronic hand and wrist pain. Plain film diagnosis may be difficult as was demonstrated by this case.