Two-incision Approach for the Open Reduction Internal Fixation of Intra-articular Hamate Body Fractures Using a Cannulated Headless Compression Screw. Issue 4 (December 2020)

• Record Type: Journal Article
• Authors: Ha, Austin Y.; Booth, Matthew; Pet, Mitchell A.
• Is Part Of: Techniques in hand & upper extremity surgery. Volume 24:Issue 4(2020)
• Publication Date: 2020-12
• Subjects: hamate body fractures -- headless compression screw -- ulnar nerve motor branch -- hook of hamate -- open reduction internal fixation; Hand -- Surgery -- Periodicals; Arm -- Surgery -- Periodicals; 617.575059
• DOI: 10.1097/BTH.0000000000000290
• Languages: English
• ISSNs: 1089-3393

Abstract

Abstract : Fractures of the hamate are relatively rare and there is a paucity of literature describing their natural history, indications for operative fixation, surgical techniques, and outcomes. Most authors recommend operative fixation of displaced intra-articular coronal hamate body fractures, and a dorsal approach with Kirschner wires has most commonly been recommended to achieve this. In this report, a 2-incision approach to the hamate is presented that facilitates rigid internal fixation of coronal hamate body fractures with a cannulated headless compression screw and minimizes the possibility of iatrogenic injury to critical branches of the ulnar nerve. The authors summarize a series of 2 patients with displaced, intra-articular coronal hamate body fractures of differing severity treated successfully with the proposed approach.