Hook Of Hamate Surgery Complications

Complications include ulnar nerve compression at the level of the guyon canal.
Hook of hamate surgery complications. Medical attention was not sought until rupture of the little profundus superficialis tendon occurred. Methods we retrospectively reviewed the medical records of patients treated with surgical excision for hook of the hamate fractures at 2 different centers. 1 3 5 the etiology for this predisposition is thought to be the transmission of direct. J hand surg am 2017.
Therapeutic alternatives in nonunion of hamate hook fractures. Bansal a carlan d moley j et al. Hand held in ulnar deviation as patient flexes dip joints of the ulnar 2 digits against resistance the flexor tendons act as a deforming force on the fracture site positive test elicits pain. All were treated with excision of the hook and tendon repair which usua.
Most common finding 80 sensitivity hook of hamate pull test. The hamate bone is an unusually shaped bone. J hand surg am 2013. 3 these fractures often occur from direct compressive forces shear forces or a.
Personal experience in 8 patients and review of literature. H ook of hamate fractures are rare injuries constituting approximately 2 of all carpal fractures 1 2 nevertheless reports suggest that hook of hamate fractures may be more common in athletes and that these fractures are on the rise because of increased participation in racket sports golf and baseball. In each case the initial injury was considered trivial. Return to play and complications after hook of the hamate fracture surgery.
Devers bn douglas kc naik rd et al. T enderness over the hook of hamate. Performance outcomes after hook of hamate fractures in major league baseball players. This fracture developed a painful nonunion requiring.
Most of the bone is square shaped but there is a projection on the palm side of the bone called the hook of the hamate the hook is a small narrow projection of bone and it the attachment of ligaments and tendons in the wrist. The hook of the hamate is the distal lateral border of the guyon canal and is close to the motor branch of the ulnar nerve and ulnar artery as they pass through the canal. The purpose of this study was to evaluate the efficacy of hook of the hamate excision for fracture in a large cohort of patients to better understand recovery time and complications. Scheufler o radmer s erdmann d et al.
Hook of the hamate fractures have been shown to occur in athletes particularly golfers and baseball players.