Hook Of Hamate Surgery Recovery Time

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Hook of hamate surgery recovery time. Retrospective analyses have demonstrated nonunion rates greater than 50 and as high as 80 90 with conservative treatment. There are possible complications of surgery including nerve injury infection and. I am not a golfer but i too had hamate hook surgery. Methods we retrospectively reviewed the medical records of patients treated with surgical excision for hook of the hamate fractures at 2 different centers.
The risks of surgery are bleeding neurovascular injury infection etc. T enderness over the hook of hamate. In a retrospective review of 29 cases the patient s functional recovery was indirectly related to the degree of soft tissue damage at the time of the injury an increase in soft tissue damage results in a decrease in functional recovery. In the past hamate hook fractures were treated conservatively with lower arm cast immobilization for 6 weeks provided the fracture was diagnosed within 1 week of the injury.
In such cases the best option may be to remove the bone fragment completely. It may occur when swinging a golf club or tennis racket against an immovable object. It is located at the base of the fifth metacarpal which is the. Most common finding 80 sensitivity hook of hamate pull test.
The reliability of recovery from this surgery is very good. Athletes typically take 6 8 weeks to recover from this surgery and return to sports. 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. Here we explain the symptoms causes and treatment for a hook of hamate fracture.
The most commonly injured part o the hamate bone is the hook of the hamate. Francisco cervelli s hamate injury and lingering post surgery hand issues over two seasons cost him about 40 of his playing time and cost the pirates nearly 5m. 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. 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.
I fell mountain biking while travelling and thought it was a sprain but when after over a month it didn t get better i got it checked. 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. One said 12 days in a splint and full recovery in 5 6 weeks post surgery. The prognosis of hamate fractures depends on the degree of injury encountered and the patient s effort in the physical therapy program.