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hamatolunate impingement This is an uncommon cause of ulnar side wrist pain. Note the chondromalacia at the hamate base, indicated by red arrows (this was mistakenly thought to represent a bone lesion and CT was requested). There is an accessory medial facet at the lunate head, which is present in more than 50% of living and dead people (white arrow), which is present in these cases of impingement. While this is not rare on imaging, symptomatic hamatolunate impingment is rare.