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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Capitate and Hamate Fracture. Case Study.

Ricardo Luiz Ramos Filho¹, Jefferson Santos De Jesus¹, Joao Claudio Ferreira Miranda¹

¹University Center of Anápolis - UniEVANGÉLICA.

Ortopedia, Traumatologia, Rehabilitacja

|May 30, 2020

Summary

Combined capitate and hamate fractures are rare wrist injuries. This case report details successful surgical repair using Herbert bone screws, restoring full wrist function.

Keywords:

capitate case report fracture hamate surgical treatment

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Area of Science:

Orthopedic Surgery
Hand and Wrist Trauma
Bone Fractures

Background:

Capitate and hamate fractures are infrequent, rarely occurring in isolation.
Capitate fractures typically result from wrist hyperextension injuries, often associated with scaphoid fractures.
Hamate fractures, accounting for 2% of carpal bone fractures, can affect the body, hamulus, or hook.

Observation:

A case of combined capitate and hamate fracture in a 44-year-old patient following direct hand trauma during a fall.
Clinical suspicion was confirmed by radiographic and computed tomography (CT) imaging.
The injury involved direct trauma to the dorsum of the hand.

Findings:

Surgical intervention involved open reduction and interfragmentary compression with Herbert bone screws for absolute stability.
Post-operatively, the patient was immobilized in a forearm plaster cast for four weeks.
A satisfactory outcome was achieved at three months, with a complete range of motion and preserved hand strength.

Implications:

This case highlights the importance of thorough diagnostic evaluation for combined carpal bone fractures.
Surgical management with Herbert bone screws can lead to successful functional recovery.
Further case reports are needed to better understand and manage these uncommon injuries.