LETTER


Fracture of the Body of the Hamate With Dorsal Dislocation of the 4th and 5th Metacarpals: A Case Report



Vasilis Athanasiou, Ilias D. Iliopoulos, Konstantinos Pantazis, Andreas Panagopoulos*
Department of Hand Surgery, Orthopaedic Clinic of Patras University Hospital, Patras, Greece


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© 2017 Athanasiou et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the in Orthopaedics, Department of Hand Surgery, Orthopaedic Clinic of Patras University Hospital, Papanikolaou str 1, 26504, Rio, Patras, Greece, Tel: +302613603883, Fax: +306944363624, E-mail: andpan21@gmail.com


Abstract

Background:

Solitary fractures of the body of the hamate are rare. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination.

Case report:

We present a case of a 36-year-old male patient who sustained an intraarticular fracture of the body of the hamate along with dorsal dislocation of the 4th and 5th metacarpals on his right dominant hand. Through a dorsal surgical approach, he underwent ORIF of the hamate with screws and stabilization of the dislocated 4th and 5th metacarpals with KW. At his last follow-up appointment, 18 months postoperatively, he had no pain, almost full range of motion on his fingers and a Mayo Wrist score of 90 points.

Conclusions:

Hamate fractures are rare entities that can cause significant patient morbidity if not recognized and treated appropriately.

Keywords: Missed injury, Hamate body, Fracture, Dorsal dislocation, Metacarpals, Internal fixation.