Dorsal Oblique Hamate Fracture

A Case of Hamate Fracture with Dislocation of the Ring and Little Finger Metacarpals Imaged with Three-dimensional Computed Tomography

European Journal of Trauma ◽

10.1007/s00068-006-5087-4 ◽

2006 ◽

Vol 32 (3) ◽

pp. 292-294

Author(s):

Ritsert Harm Boonstra ◽

Jacob Pieter Snellen

Keyword(s):

Computed Tomography ◽

Three Dimensional ◽

Hamate Fracture ◽

Little Finger

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Sonographic Diagnosis of a Radiographically Undiagnosed Hook of the Hamate Fracture

Journal of Ultrasound in Medicine ◽

10.7863/jum.2008.27.8.1235 ◽

2008 ◽

Vol 27 (8) ◽

pp. 1235-1239 ◽

Cited By ~ 9

Author(s):

Julien Celi ◽

Géraldine de Gautard ◽

Jean-Dominique Della Santa ◽

Stefano Bianchi

Keyword(s):

Sonographic Diagnosis ◽

Hamate Fracture

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Ulnar corner

10.1093/med/9780198757689.003.0014 ◽

2018 ◽

Author(s):

David Warwick

Keyword(s):

Anatomical Structures ◽

X Ray ◽

Hypothenar Hammer Syndrome ◽

Ulnar Head ◽

Traumatic Lesions ◽

Surgical Options ◽

Hook Of Hamate ◽

Hamate Fracture ◽

Excision Arthroplasty ◽

Operative Measures

The ulnar corner is complex with many anatomical structures and many potential pathologies. This may render diagnosis and treatment a challenge. Meticulous history taking and examination are required, supplemented, if necessary, by tests such as X-ray, MRI, and arthroscopy. Condition include ECU and FCU tendinopathy; hook of hamate fracture; carpal instability; osteoarthritis of the DRUJ, pisotriquetral joint and lunatehamate joint; degenerative and traumatic lesions of the TFCC; ulnar neuropathy, and hypothenar hammer syndrome. Successful treatment depends on accurate diagnosis; non-operative measures usually suffice but surgical options include excision arthroplasty (e.g. pisiform arthritis), joint replacement (e.g. ulnar head), neurolysis (e.g. ulnar nerve neuropathy), surgical debridement (e.g. TFCC central perforations and lunate–hamate arthritis), and ulnar shortening (ulnocarpal impaction).

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Features of intra-hamate vascularity and its possible relationship with avascular risk of hamate fracture

Chinese Medical Journal ◽

10.1097/cm9.0000000000000417 ◽

2019 ◽

Vol 132 (21) ◽

pp. 2572-2580 ◽

Cited By ~ 1

Author(s):

Zi-Run Xiao ◽

Wei-Guang Zhang ◽

Ge Xiong

Keyword(s):

Hamate Fracture

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Lessons to be learned from a missed case of Hamate fracture: a case report

Journal of Orthopaedic Surgery and Research ◽

10.1186/1749-799x-5-64 ◽

2010 ◽

Vol 5 (1) ◽

pp. 64 ◽

Cited By ~ 9

Author(s):

Vishal H Borse ◽

James Hahnel ◽

Adnan Faraj

Keyword(s):

Case Report ◽

Hamate Fracture

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Hamate fracture-dislocation: A case report

The Journal Of Hand Surgery ◽

10.1016/s0363-5023(05)80271-0 ◽

1995 ◽

Vol 20 (4) ◽

pp. 578-580 ◽

Cited By ~ 6

Author(s):

Richard L. Uhl ◽

Mark Campbell

Keyword(s):

Case Report ◽

Fracture Dislocation ◽

Hamate Fracture

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Symptomatic, Partial Union of the Hook of the Hamate Fracture in Athletes

The American Journal of Sports Medicine ◽

10.1177/03635465030310010201 ◽

2003 ◽

Vol 31 (1) ◽

pp. 106-111 ◽

Cited By ~ 33

Author(s):

Tal S. David ◽

Norman P. Zemel ◽

Peter V. Mathews

Keyword(s):

Computed Tomography ◽

Grip Strength ◽

Outcome Assessment ◽

Retrospective Review ◽

Subjective Evaluation ◽

Sports Participation ◽

Persistent Pain ◽

Strength Testing ◽

Subjective Outcome ◽

Hamate Fracture

Background Many clinicians believe that after fracture of the hook of the hamate, nonunions are the rule rather than the exception. Purpose To describe a previously unreported condition in which the fractured hook of the hamate unites only along its ulnar column and causes pain similar to that in cases of nonunion. Study Design Retrospective review. Methods Eight patients who had sustained a hook of the hamate fracture were identified, on the basis of their persistent pain, as having achieved only partial union. This diagnosis was made despite evidence on computed tomography of healed bone across a significant portion of the fracture. All eight patients underwent subperiosteal excision of the hamulus because of persistent pain. At an average of 4 years after excision, each patient was evaluated by dynamometer grip strength testing and a subjective outcome assessment. Results All patients were able to return to their preinjury level of sports participation at an average 8 weeks after excision of the hook of the hamate. Grip strength was not adversely affected in any patient. Subjective evaluation of each patient revealed no residual pain. Conclusions Chronic or unresolved pain on the ulnar side of the wrist after hook of the hamate fracture can be due to partial union. This condition should be managed no differently from a symptomatic nonunion, with excision of the hook of the hamate and repair of the ligament attachments.

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