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LETTER

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

The Open Orthopaedics Journal 30 May 2017 LETTER DOI: 10.2174/1874325001711010447

Abstract

Background:

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.

Case report:

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

Conclusions:

Hamate fractures are rare entities that can cause significant patient morbidity if not recognized and treated appropriately.

Keywords: Missed injury, Hamate body, Fracture, Dorsal dislocation, Metacarpals, Internal fixation.
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