Hamate’s coronal fracture: diagnostic and therapeutic approaches based on a long-term follow-up

Eder, Christian; Scheller, Ariane; Schwab, Nina; Krapohl, Björn Dirk

doi:10.3205/iprs000131

Cited by 3 publications

(3 citation statements)

References 49 publications

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“…The current literature shows that most hamate body fractures are managed operatively with open reduction and internal fixation. 16 Postoperative complications are infrequent and include pain, stiffness, decreased grip strength, ulnar nerve dysfunction, and nonunion. 7 , 12 , 17 The published literature has shown very low rates of these complications.…”

Section: Discussionmentioning

confidence: 99%

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Study of Hamate Fractures in a Single Tertiary Hands Unit: A Retrospective Cohort Study and Literature Review

Rogers,

Luk,

Ross

et al. 2024

Journal of Hand Surgery Global Online

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Section: Discussionmentioning

confidence: 99%

“…The postoperative period of immobilization has a wide range in the current literature. Eder et al 16 immobilized their cohort for 5 weeks on average. All our patients experienced a period of splinting after injury or postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Study of Hamate Fractures in a Single Tertiary Hands Unit: A Retrospective Cohort Study and Literature Review

Rogers,

Luk,

Ross

et al. 2024

Journal of Hand Surgery Global Online

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“…Eder et al do not recommend conservative treatment due to high complication rates such as tendon subluxation and absence of pain relief. 13 They state that open reduction and internal fixation is advantageous due to anatomical repositioning of the fracture, physiological restoration of articular surfaces, and remedying of co-injuries. Furthermore, regarding hook of hamate fractures, multiple studies report good outcomes and safety with surgical excision.…”

Section: Discussionmentioning

confidence: 99%

Complications after Nonoperative Management of Hamate Fractures

Finley

Medvedev

2022

Plastic and Reconstructive Surgery - Global Open

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Background: Hamate fractures are an infrequent injury and are often missed or have a delayed diagnosis with potential for significant patient morbidity. There is a relative paucity in the literature involving large population studies of hamate fractures and subsequent complications. Gaining a better understanding of complications associated with nonoperative management will help guide the decision for operative intervention. Methods: The PearlDiver patient records database was used to query for patients who sustained a hamate fracture using ICD-9 and ICD-10 codes. Postinjury complications within 1 year of diagnosis were assessed using ICD-9 and ICD-10 codes for diagnoses of complications. Results: A total of 1120 patients who sustained a hamate hook or body fracture met inclusion and exclusion criteria and were included in the study. Patients who were managed nonoperatively showed a nonunion rate of 2%, ulnar neuropathy rate of 1.7%, and tendon rupture rate of 0.2%. In a subanalysis using only ICD-10 codes to distinguish between hook and body fractures, hook fractures demonstrated a nonunion rate of 2.2%, ulnar neuropathy rate of 2.7%, and tendon rupture rate of 0%, while body fractures had a nonunion rate of 1.2%, ulnar neuropathy rate of 1%, and tendon rupture rate of 0%. Conclusion: The current study shows very low rates of nonunion, ulnar neuropathy and tendon rupture after nonoperative management of hamate fractures.

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Fractures of the Hamate Bone: A Review of Clinical Presentation, Diagnosis and Management in the United Kingdom

Sahu,

Tahir,

Sahu

et al. 2024

Cureus

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Injury to the hamate can result in significant functional impairment and a negative impact on quality of life. These injuries, in general, occur very infrequently, and in the setting of an increasingly ageing population and more patients presenting post falls, clinicians are at risk of either misdiagnosing or failing to diagnose patients who sustain hamate fractures. This review finds that hamate fractures can occur through acute trauma or chronic repetitive stress. These injuries are often missed resulting in a delay to management. Common presenting features of hamate fractures include ulnar-sided palmar tenderness and paraesthesia in the ulnar nerve distribution, loss of grip strength and pain on swinging a gripped object. In examination, the hamate “pull test” is a highly sensitive test for hamate fractures. CT scan of the carpal bones is shown to be the gold standard investigation for the diagnosis of such injuries. Initial management of hamate fractures in the United Kingdom is in line with the National Institute of Health and Care Excellence (NICE) guidelines that involves immobilisation with a suitable splint and sling for comfort, adequate analgesia, rest and elevation. Specific management of hamate fractures is divided into conservative and surgical options; however, this review identifies the need for further research into which form of management is superior.

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Hamate’s coronal fracture: diagnostic and therapeutic approaches based on a long-term follow-up

Cited by 3 publications

References 49 publications

Study of Hamate Fractures in a Single Tertiary Hands Unit: A Retrospective Cohort Study and Literature Review

Study of Hamate Fractures in a Single Tertiary Hands Unit: A Retrospective Cohort Study and Literature Review

Complications after Nonoperative Management of Hamate Fractures

Fractures of the Hamate Bone: A Review of Clinical Presentation, Diagnosis and Management in the United Kingdom

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