Hamate Body Fractures: a Comprehensive Review of the Literature

Price, Matthew Brent; Vanorny, Dallas; Mitchell, Scott A.; Wu, Chia H.

doi:10.1007/s12178-021-09731-6

Cited by 10 publications

(18 citation statements)

References 53 publications

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“…Standard X-ray tecniques may fail to show hamate bone fractures. Additional protocols may be needed, such as carpal tunnel radiography, or computerized tomography (CT) may be needed [2].…”

Section: Discussionmentioning

confidence: 99%

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Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu

Ergün

Öncül

2023

Troia Med J

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Introduction: Hamate body fractures are rare hand injuries and are accompanied by serious complications. Our study is one of the rare case reports reported in the literature. Case report: Our case is an industrial injury case of a 51-year-old male patient who was working as a printing machine operator and got his hand stuck between the wheels of the machine. It has been observed that hamate bone fracture accompanying the intermetacarpal decomposition after the accident has developed. Reduction and fixation of hamate bone fractures and intermetacarpal dehiscence were performed, and fasciotomy was performed due to compartment syndrome. Adequate recovery was achieved after the treatment of the patient. Conclusion: As far as we know, no carpal bone injury similar to our case has been reported in the literature before. We recommend rigid screw fixation for fracture osteosynthesis, K-wire fixation for metacarpal dissociation, and early fasciotomy to prevent the development of compartment syndrome in intermetacarpal separation injuries accompanied by hamate bone fractures.

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“…Standard X-ray tecniques may fail to show hamate bone fractures. Additional protocols may be needed, such as carpal tunnel radiography, or computerized tomography (CT) may be needed [2].…”

Section: Discussionmentioning

confidence: 99%

“…Hamate bone fractures are uncommon carpal injuries, responsible for 2-4% of all carpal fractures [1,2]. A hamate body fracture with metacarpal dissociation is a very rare injury and it is rarely associated with compartment syndrome.…”

Section: Introductionmentioning

confidence: 99%

Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu

Ergün

Öncül

2023

Troia Med J

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“…Anteroposterior and lateral radiographs do not provide an adequate image of the fourth and fifth carpometacarpal joints to allow the diagnosis of these injuries [ 12 ], therefore an additional 30° supination oblique image is recommended [ 13 ]. CT scan is often helpful for the diagnosis and can be useful for pre-operative planning [ 14 , 15 ]. According to the Cain classification, hamate body fractures associated with carpometacarpal fracture-dislocation are subdivided into 3 types: Type IA: subluxation of the base of the V metacarpal and tear of the dorsal carpometacarpal ligament, Type IB: dorsal fracture of the hamate; Type II: dorsal comminuted fracture of the hamate.…”

Section: Discussionmentioning

confidence: 99%

Hamatometacarpal fracture-dislocation: A case report

Amine,

Reda,

Assouab

et al. 2023

Trauma Case Reports

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“…However, the irregularly shaped hamate bone provides attachment to numerous ligaments and muscles which redistributes the loading force to the surrounding structures. Hence, a very high force required for hamate fracture [ 7 ]. Surgical fixation these kind of fracture is debatable as fracture relatively similar to this type has been treated conservatively.…”

Section: Discussionmentioning

confidence: 99%

A Wrong Punch and a Rare Fracture! – A Case Report of Isolated Fourth and Fifth Metacarpal Base Fracture

Amirthalingam¹,

Sameer²,

Harshavardhan³

2022

JOCR

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Introduction: Isolated displaced fourth and fifth metacarpal base fracture without a carpometacarpal joint subluxation or carpal bone fracture by a punch injury is extremely rare. The site of the fracture in the metacarpal is determined by the type and direction of punch. These fractures usually occur as a result of misdirected blow or wrong punch on a hard surface with a clenched fist. To best of our knowledge, there are only few published case reports. The difficulties in management and biomechanics of such fractures with 10 months follow-up are discussed in this case report. Case Report: A 37-year-old male right hand dominant person presented with pain and swelling of the right hand after punching a wall. The difficulties in reduction and fixation of such fracture, the functional and radiological outcome of minimally open Kirschner wires fixation of this type of fracture with 10-month follow-up and the fracture biomechanics has been discussed in this case report. Conclusion: Clenched fist injury not always means a boxer fracture. This kind of rare fracture is also a possibility and should kept as a differential diagnosis. These fractures are easily misinterpreted by a beginner. Meticulous reduction techniques and fixation will yield better results. Keywords: Base of fourth and fifth metacarpal fracture, biomechanics of fist injury, fist injury, metacarpal base fractures, boxer’s fracture

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Hamate Body Fractures: a Comprehensive Review of the Literature

Cited by 10 publications

References 53 publications

Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu

Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu

Hamatometacarpal fracture-dislocation: A case report

A Wrong Punch and a Rare Fracture! – A Case Report of Isolated Fourth and Fifth Metacarpal Base Fracture

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