Hamate Hook Nonunion Treated With a Hook Plate

Abstract

Despite of its rarity, hamate hook nonunion can cause several complications like tendon rupture or loss of grip strength. Admitted treatments in the literature are excision of the bone fragment or its open reduction and internal fixation. We report a clinical case of a high-level baseball player with hamate hook nonunion treated with an original technique of fixation using a hook plate.

Tendon rupture of the flexor digitorum profundus of the little finger secondary to hamate non-union

“…Watson et al [20] prefer to fix the fragment after freshening of the site/ grafting so as to preserve the hook's pulley capacity for the flexor tendons of the little finger. More recently, some teams have proposed new fixation methods, namely the use of a hookplate [21] or the use of a cannulated screw through a dorsal percutaneous approach [22].…”

Hamate Hook Non-Union Treated With a Break-Away Screw: A Case Report

“…A method using a hook plate has recently been reported, 8 but intraoperative processing of the plate is necessary to fit the bone fragment, which may be troublesome as a procedure.…”

Hook of the Hamate: The Spectrum of Often Missed Pathologic Findings

“…Surgical fixation has been advocated for restoring normal biomechanics of the wrist. Operative techniques include open palmar screw or K-wire fixation, hook plate fixation, and dorsal percutaneous screw fixation [7, 20, 21, 25]. Low-intensity pulsed ultrasound has been advanced as a noninvasive alternative to surgical intervention in nondisplaced fractures [22, 23].…”