Fracture of the Body of the Hamate With Dorsal Dislocation of the 4th and 5th Metacarpals: A Case Report
Vasilis Athanasiou, Ilias D. Iliopoulos, Konstantinos Pantazis, Andreas Panagopoulos*
Department of Hand Surgery, Orthopaedic Clinic of Patras University Hospital, Patras, Greece
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 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.
Hamate fractures are rare entities that can cause significant patient morbidity if not recognized and treated appropriately.
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* Address correspondence to this author at the in Orthopaedics, Department of Hand Surgery, Orthopaedic Clinic of Patras University Hospital, Papanikolaou str 1, 26504, Rio, Patras, Greece, Tel: +302613603883, Fax: +306944363624, E-mail: email@example.com