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Coronal dorsal hamate fractures.

T S Loth1, M D McMillan

  • 1Irwin Army Community Hospital, Fort Riley, Kan.

The Journal of Hand Surgery
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

This study shows open reduction and internal fixation effectively treats rare dorsal hamate fractures and associated metacarpal base subluxations, leading to excellent patient outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Traumatology

Background:

  • Dorsal hamate coronal fractures with associated metacarpal base subluxations are rare injuries.
  • Optimal treatment strategies for this specific fracture-subluxation pattern remain debated.

Observation:

  • Four patients with this rare injury underwent open reduction and internal fixation.
  • Cortical mini-lag screws and Kirschner wires were utilized for fixation.
  • Follow-up averaged 12 months, ranging from 6 to 19 months.

Findings:

  • Excellent subjective patient assessments were reported.
  • Objective measurements of strength and range of motion showed positive results.
  • Radiographic evaluation confirmed successful fracture healing and joint congruity.

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Implications:

  • Open reduction and internal fixation is a recommended treatment for this unusual hamate fracture-subluxation.
  • This surgical approach can restore function and provide excellent outcomes.
  • Further research may explore long-term results and alternative fixation methods.