Coronal Fractures of the Hamate: Are they Rare or Rarely Spotted?

Gella, Sreenadh; Borse, Vishal; Rutten, E.

doi:10.1016/j.jhse.2007.05.006

Cited by 8 publications

(12 citation statements)

References 5 publications

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“…Terminology in the literature aims to be descriptive but can vary widely between reports. A review of the literature reflects multiple names for a similar pattern of injury: coronal hamate fracture, 5,28,32 hamate body fracture, 7,19,25,29 divergent fracture-dislocation of the hamatometacarpal joint, 9,24 hamate fracture, 30,33 intraosseous fifth CMC dislocation, 2 CMC fracture-dislocation, 22 and dorsal hamate fracture. 23 We believe that a coronal hamate fracture with CMC dislocation is a specific injury pattern and would benefit from a uniform terminology.…”

Section: Discussionmentioning

confidence: 99%

Carpometacarpal 4/5 Fracture Dislocations: Fracture Morphology and Surgical Treatment

Verhiel

Knaus

Simeone

et al. 2020

Journal of Hand and Microsurgery

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We conducted a retrospective review of six patients with carpometacarpal (CMC) ⅘ fracture-dislocations managed with ORIF by a single surgeon between October 2006 and August 2017. An open, dorsal approach to the hamate was used with a combination of interfragmentary screw fixation and Kirschner wire reduction in the CMC joints. At a mean of 96 days follow-up (range: 31–265), all patients had recovered wrist motion, excellent grip strength, and complete resolution of pain. There were no complications or reoperations during the postoperative period. Radiographic review showed restoration of anatomy and well-maintained congruity of the CMC joints. Our study has shown favorable outcomes after open reduction and internal fixation of the hamate body fracture with interfragmentary screws, when combined with stabilization of the CMC dislocation with percutaneous Kirschner wires. Fracture morphology does not appear to guide choice for specific hardware (size screw, headed/headless) or use of a washer. This is a level IV, therapeutic study.

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Section: Discussionmentioning

confidence: 99%

Carpometacarpal 4/5 Fracture Dislocations: Fracture Morphology and Surgical Treatment

Verhiel

Knaus

Simeone

et al. 2020

Journal of Hand and Microsurgery

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“…We think that additional X-rays with ulnar deviation or stress X-rays could be painful for the patient and that a CT scan could be more helpful. Indeed, a CT scan should be systematic if there is any doubt, to ensure that the fractures are not missed [3,4,[19][20][21][22]. The CT scan images can help to determine the type of lesion, detect fracture displacement, and provide information about potential associated ligament lesions.…”

Section: Discussionmentioning

confidence: 99%

A rare coronal fracture of the medial carpal column: Case report

Dunet

Vargas

Tournier

et al. 2015

Chirurgie de la Main

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“…Carpal tunnel views and computed tomography (CT) [4,5] have also been suggested to help. This case highlights some of the problems encountered with traditional x-ray views, and the need to consider oblique views as either standard procedure or as an adjunct where clinical suspicion remains high even in the presence of normal x-rays.…”

Section: Discussionmentioning

confidence: 99%

Lessons to be learned from a missed case of Hamate fracture: a case report

Borse

Hahnel

Faraj

2010

Journal of Orthopaedic Surgery and Research

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IntroductionWe report the case of a missed fracture through the body of the hamate bone, only detected on a later, mistakenly taken 30° oblique x-ray view. This case highlights some of the problems encountered with traditional x-ray views, and the need to consider oblique views as either standard procedure or as an adjunct where clinical suspicion remains high even in the presence of normal x-rays.Case presentationA healthy 26-year-old Caucasian male fell whilst jogging, suffering a low velocity injury to his right hand. Initial accident and emergency examination and x-rays failed to demonstrate a fracture. At clinic, anteroposterior and carpal tunnel radiographs showed no fracture, however a mistakenly taken oblique x-ray revealed a displaced hamate body fracture.ConclusionThe authors believe that where a hamate fracture is suspected, an oblique x-ray view should be considered as part of the initial diagnostic investigations. Furthermore an oblique x-ray view is of particular use when clinical suspicion for hamate fracture remains high in the light of otherwise normal x-rays.

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Coronal Fractures of the Hamate: Are they Rare or Rarely Spotted?

Cited by 8 publications

References 5 publications

Carpometacarpal 4/5 Fracture Dislocations: Fracture Morphology and Surgical Treatment

Carpometacarpal 4/5 Fracture Dislocations: Fracture Morphology and Surgical Treatment

A rare coronal fracture of the medial carpal column: Case report

Lessons to be learned from a missed case of Hamate fracture: a case report

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