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*
Article Information
Identifiers and Pagination:
Year: 2017Volume: 11
First Page: 447
Last Page: 451
Publisher ID: TOORTHJ-11-447
DOI: 10.2174/1874325001711010447
Article History:
Received Date: 06/02/2017Revision Received Date: 08/03/2017
Acceptance Date: 09/03/2017
Electronic publication date: 30/05/2017
Collection year: 2017

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.
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.