Hamate’s coronal fracture: diagnostic and therapeutic approaches based on a long-term follow-up

Eder, Christian; Scheller, Ariane; Schwab, Nina; Krapohl, Björn Dirk

doi:10.3205/iprs000131

Cited by 1 publication

(1 citation statement)

References 49 publications

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“…Eder et al do not recommend conservative treatment due to high complication rates such as tendon subluxation and absence of pain relief. 13 They state that open reduction and internal fixation is advantageous due to anatomical repositioning of the fracture, physiological restoration of articular surfaces, and remedying of co-injuries. Furthermore, regarding hook of hamate fractures, multiple studies report good outcomes and safety with surgical excision.…”

Section: Discussionmentioning

confidence: 99%

Complications after Nonoperative Management of Hamate Fractures

Finley

Medvedev

2022

Plastic and Reconstructive Surgery - Global Open

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Background: Hamate fractures are an infrequent injury and are often missed or have a delayed diagnosis with potential for significant patient morbidity. There is a relative paucity in the literature involving large population studies of hamate fractures and subsequent complications. Gaining a better understanding of complications associated with nonoperative management will help guide the decision for operative intervention. Methods: The PearlDiver patient records database was used to query for patients who sustained a hamate fracture using ICD-9 and ICD-10 codes. Postinjury complications within 1 year of diagnosis were assessed using ICD-9 and ICD-10 codes for diagnoses of complications. Results: A total of 1120 patients who sustained a hamate hook or body fracture met inclusion and exclusion criteria and were included in the study. Patients who were managed nonoperatively showed a nonunion rate of 2%, ulnar neuropathy rate of 1.7%, and tendon rupture rate of 0.2%. In a subanalysis using only ICD-10 codes to distinguish between hook and body fractures, hook fractures demonstrated a nonunion rate of 2.2%, ulnar neuropathy rate of 2.7%, and tendon rupture rate of 0%, while body fractures had a nonunion rate of 1.2%, ulnar neuropathy rate of 1%, and tendon rupture rate of 0%. Conclusion: The current study shows very low rates of nonunion, ulnar neuropathy and tendon rupture after nonoperative management of hamate fractures.

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Section: Discussionmentioning

confidence: 99%