Lessons to be learned from a missed case of Hamate fracture: a case report

Autor: Borse Vishal H, Hahnel James, Faraj Adnan
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 5, Iss 1, p 64 (2010)
Druh dokumentu: article
ISSN: 1749-799X
DOI: 10.1186/1749-799X-5-64
Popis: Abstract Introduction We report the case of a missed fracture through the body of the hamate bone, only detected on a later, mistakenly taken 30° oblique x-ray view. This case highlights some of the problems encountered with traditional x-ray views, and the need to consider oblique views as either standard procedure or as an adjunct where clinical suspicion remains high even in the presence of normal x-rays. Case presentation A healthy 26-year-old Caucasian male fell whilst jogging, suffering a low velocity injury to his right hand. Initial accident and emergency examination and x-rays failed to demonstrate a fracture. At clinic, anteroposterior and carpal tunnel radiographs showed no fracture, however a mistakenly taken oblique x-ray revealed a displaced hamate body fracture. Conclusion The authors believe that where a hamate fracture is suspected, an oblique x-ray view should be considered as part of the initial diagnostic investigations. Furthermore an oblique x-ray view is of particular use when clinical suspicion for hamate fracture remains high in the light of otherwise normal x-rays.
Databáze: Directory of Open Access Journals