Lateral approach to the hook of hamate for its fracture

Mizuseki, Takaya; Ikuta, Yoshikazu; Murakami, Tsuneji; Watari, Sadao

doi:10.1016/0266-7681(86)90028-8

Cited by 8 publications

(2 citation statements)

References 7 publications

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“…In a multicenter study, two different types of surgery were available, hook excision and open reduction and internal fixation. In eight patients (57.1 percent), the hook fragment was excised using a palmar approach, 21,22 whereby five were primary and three were secondary excisions. Subperiosteal removal was preferred to extraperiosteal excision, because of the reduced likelihood of damage to the motor branch of the ulnar nerve by this technique.…”

Section: Treatmentmentioning

confidence: 99%

Hook of Hamate Fractures: Critical Evaluation of Different Therapeutic Procedures

Scheufler

Andresen

Radmer

et al. 2005

Plastic and Reconstructive Surgery

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The treatment of choice in nondisplaced hook of hamate fractures is conservative, with lower arm splinting. Displaced fractures should be treated operatively, whereby excision of the fragment or open reduction and internal fixation are described. A hamulus ossis hamati fracture was verified in 14 patients (mean age, 42 years; range, 21 to 73 years) including 11 men and three women. In six patients (42.9 percent), conservative treatment was initiated immediately after trauma with a lower arm cast for 6 weeks, and eight patients (57.1 percent) were operated on primarily. In five patients (35.7 percent), the fragment was excised, and in three patients (21.4 percent), an open reduction and internal fixation was performed using a screw. In five of six patients treated conservatively, nonunion of the fracture with persisting clinical symptoms developed. All of those patients were treated operatively, whereby three patients underwent excision and two patients underwent screw fixation, which led to elimination of the symptoms. One patient was asymptomatic despite nonunion of the fracture and rejected surgery. All of the eight patients operated on primarily were asymptomatic 3 months after surgery. Therefore, the success rate of primary surgical treatment (eight of eight) was significantly higher compared with conservative treatment(one of six). Finally, all 14 patients were asymptomatic at late postoperative follow-up. The clinical outcome of patients with hook of hamate fractures treated conservatively was disappointing. Therefore, primary surgical treatment is recommended. In our patients, excision and open reduction and internal fixation led to comparable results.

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Section: Treatmentmentioning

confidence: 99%

Hook of Hamate Fractures: Critical Evaluation of Different Therapeutic Procedures

Scheufler

Andresen

Radmer

et al. 2005

Plastic and Reconstructive Surgery

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“…Mastery of the anatomy is essential to a successful surgical approach to the hook of hamate. Although lateral 17 and variations of volar 5,24 surgical approaches have been recommended, we find the volar approach as we describe, with painstaking care to identify and protect the deep motor branch of the ulnar nerve and mindfulness of the size of the incision, to be the most appropriate and reliable.…”

Section: Discussionmentioning

confidence: 89%

Excision of Hook of Hamate Fractures in Elite Baseball Players: Surgical Technique and Return to Play

Engler

Barrazueta

Colacchio

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Hook of hamate fractures are relatively common in baseball players, but the proper diagnosis and surgical technique can be challenging. Outcomes after surgical excision, as well as optimal surgical technique, in elite baseball players have not been clearly established. Hypothesis: Excision of hook of hamate fractures with a technique tailored to elite professional and collegiate baseball players will lead to high rates of return to play within a short time. Study Design: Case series; Level of evidence, 4. Methods: We reviewed the cases of 42 elite athletes who underwent surgical excision of 42 hook of hamate fractures at a single academic hand surgery practice from 2006 to 2020. The athletes competed at the professional (n = 20) or varsity collegiate (n = 22) baseball levels and were treated using the same surgical technique tailored toward the elite athlete. The clinical history, timing of surgery, complications, and time to return to play were recorded for each patient. Results: All 42 patients underwent an excision of their hook of hamate fracture at a mean of 7.2 weeks (range, 0.5-52 weeks) from the onset of symptoms. All but one patient were able to return to full preinjury level of baseball participation within 6 weeks from the date of surgery, with a mean return to sport of 5.4 weeks (range, 3-8 weeks). Two patients returned to the operating room—1 for scar tissue formation causing ulnar nerve compression and 1 for residual bone fragment causing pain and ulnar nerve compression. Conclusion: Surgical excision of hook of hamate fractures in elite baseball players showed a very high rate of return to play within 6 weeks. Meticulous adherence to the described surgical technique tailored to athletes optimizes clinical outcomes and avoids complications.

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Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach

Tolat

Humphrey

McGovern

et al. 2014

Injury

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Lateral approach to the hook of hamate for its fracture

Abstract: We have recently experienced one case of the fracture of the hook of the hamate that was diagnosed only by the CT scan. As a surgical approach, lateral approach to the hook of the hamate for its fracture was utilized. We found that this approach was safe, easy and quick.

Cited by 8 publications

References 7 publications

Hook of Hamate Fractures: Critical Evaluation of Different Therapeutic Procedures

Hook of Hamate Fractures: Critical Evaluation of Different Therapeutic Procedures

Excision of Hook of Hamate Fractures in Elite Baseball Players: Surgical Technique and Return to Play

Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach

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