Hook Of Hamate Surgery Anesthesia

Fractures of the hamate are divided into body fractures and the more common hook fractures 88 fig.

Hook of hamate surgery anesthesia. Anesthesia for hand surgery. In cases where the fracture of hook of hamate goes unnoticed for a good amount of time then it is likely that the fracture may not heal. Golfer s wrist fracture hook of hamate before and after surgery. Hook of hamate fracture is a fracture of a hook shaped protrusion on the hamate bone which is one of the small carpal bones in the wrist.

25 9 classically hook of the hamate fractures occur in patients who play racquet sports or golf with the patient describing pain with gripping activities after the injury. The risks of surgery are bleeding neurovascular injury infection etc. Four cases of undiagnosed hook of the hamate fracture are presented. Using intraoperative computed tomography the displaced fracture of the hamate hook was reduced by open reduction and internal fixation and fixed with a screw.

Medical attention was not sought until rupture of the little profundus superficialis tendon occurred. We report a case of volar fourth and fifth carpometacarpal cmc joint dislocation complicated by a hamate hook fracture. The hamate has a hook like process that projects from the palm side of the wrist toward the outside of the body. This fracture developed a painful nonunion requiring.

The ulnar nerve supplies the medial side of the ring finger and the little finger. Mordechai vigler md. In each case the initial injury was considered trivial. It may occur when swinging a golf club or tennis racket against an immovable object.

All were treated with excision of the hook and tendon repair which usua. The hook of the hamate forms part of guyon s canal also known as the ulnar canal. Causes of golfer s wrist occurring most often in golfers and batters whose palms repeatedly absorb the shock of club or bat to ball contact golfer s wrist can develop over time as a receptive trauma injury or suddenly in a more traumatic instance. Knight removes the hook of hamate after a college baseball player sustained a fracture to the hook.

Here we explain the symptoms causes and treatment for a hook of hamate fracture. The cmc joint was reduced in a closed fashion and temporally fixed with kirschner wires. Fractures of the hamate.