Fracture of the Body of the Hamate With Dorsal Dislocation of the 4^th and 5^th Metacarpals: A Case Report

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 4^th and 5^th metacarpals on his right dominant hand. Through a dorsal surgical approach, he underwent ORIF of the hamate with screws and stabilization of the dislocated 4^th and 5^th 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.