Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach
| Autor: | Paul D McGovern, Jonathan Compson, A. R. Tolat, J A Humphrey |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Hook UNUNITED FRACTURES Fracture Fixation Internal Immobilization Medicine Cast immobilization Humans Carpal tunnel Hamate Bone General Environmental Science Carpal Joints business.industry Level of functioning Mean age Recovery of Function musculoskeletal system Surgery medicine.anatomical_structure Treatment Outcome Fractures Ununited Hamate fracture General Earth and Planetary Sciences Surgical excision business |
| Zdroj: | Injury. 45(10) |
| ISSN: | 1879-0267 |
| Popis: | Introduction Direct excision of a symptomatic ununited hook of hamate fracture is the gold standard, most frequently via a Guyon space approach. The open carpal tunnel approach is another option, which has not previously been commonly considered and not reported in a peer review journal. Our study aims to highlight the carpal tunnel approach as a successful technique in a consecutive series of ununited hook of hamate fractures. Patients and methods Seven patients (all male and mean age 30.7 years) were reviewed with symptomatic ununited fractures following a period of cast immobilization. All the patients operated on underwent excision of the hook of hamate fragment via the open carpal tunnel approach. Results All patients successfully returned to their pre-injury level of functioning after 8–12 weeks and there were no complications. Conclusions Our study highlights the open carpal tunnel approach as a successful technique for open excision of symptomatic ununited hook of hamate fractures, because of its familiarity, ease of performance, excellent visualization and low morbidity. Level of Evidence IV Case Series. |
| Databáze: | OpenAIRE |
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