Fracture of the Body's Hamate Bone: Open Reduction Internal Fixation by Double Approach—A Case Report
| Autor: | Antonia Brotons Baile, José Fernando Martínez López, Jaime Francisco Vargas Prieto, Jorge Salvador Marín, Jose Manuel Pérez Alba, Nuria Cardona Vives |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Economics and Econometrics
Hook medicine.medical_treatment lcsh:Surgery Capitate bone 03 medical and health sciences 0302 clinical medicine Materials Chemistry Media Technology medicine hamate fracture Dorsal approach Internal fixation Displacement (orthopedic surgery) Reduction (orthopedic surgery) Orthodontics 030222 orthopedics double dorsal and palmar approach business.industry Forestry lcsh:RD1-811 carpometacarpal dislocation carpal fracture open reduction internal fixation Fracture (geology) Hamate Bone business 030217 neurology & neurosurgery |
| Zdroj: | Revista Iberoamericana de Cirugía de la Mano, Vol 46, Iss 02, Pp 126-130 (2018) |
| ISSN: | 1698-8396 |
| DOI: | 10.1055/s-0038-1654722 |
| Popis: | Hamate fractures are rare. Their treatment depends on the displacement and type of fracture. We present the case and surgical technique of a 33-year-old male patient, who is a manual worker, with a displaced fracture of the body of the hamate bone associated with dislocation of the fourth and fifth metacarpal (MC) bones. The patient was operated on with a double palmar and dorsal approach directly over the hamate and the body hook, respectively, which was performed to improve the control reduction and avoid damaging the neighboring vascular and nerve structures. The open reduction internal fixation (ORIF) was performed by inserting mini-screws in a dorsal to palmar direction. Later, the dislocations were reduced and fixed with Kirschner wires between the fourth and fifth MC bases, and between the fourth MC base and the capitate bone. The patient was discharged 2.5 months after the fracture. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire outcome measure was 5 points at 6 months postsurgery. |
| Databáze: | OpenAIRE |
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