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*
Identifiers and Pagination:Year: 2017
First Page: 447
Last Page: 451
Publisher ID: TOORTHJ-11-447
Article History:Received Date: 06/02/2017
Revision 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.
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.
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.
Hamate fractures are rare entities that can cause significant patient morbidity if not recognized and treated appropriately.