Case: A twenty-two-year-old male patient presented to our trauma center after a motor-vehicle accident in which he sustained multiple injuries, including a volar dislocation of the hamate and ipsilateral scapholunate dissociation. Following closed reduction of the hamate dislocation, open reduction and stabilization of these carpal injuries was undertaken two days post-injury via a dorsal approach. Percutaneous Kirschner wires were used as well as two mini suture anchors to repair the scapholunate ligament. The patient was immobilized for six weeks and Kirschner wires were removed at twelve weeks postoperatively.
Conclusion: To our knowledge, hamate dislocation with scapholunate dissociation and its surgical treatment have not previously been described. Successful surgical treatment for this injury pattern may be performed dorsally via direct reduction and repair of the scapholunate ligament with percutaneous pinning of the affected carpal bones.
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http://dx.doi.org/10.2106/JBJS.CC.N.00140 | DOI Listing |
Jt Dis Relat Surg
January 2025
Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 34764 Ümraniye, İstanbul, Türkiye.
Objectives: In this study, we present our extensive case series on hamatometacarpal fracture-dislocations treated with open reduction and internal fixation and share our treatment strategies and outcomes.
Patients And Methods: Between March 2014 and November 2022, a total of 17 male patients (mean age: 28.6±7.
J Hand Surg Glob Online
November 2024
Department of Orthopaedic Surgery, University of South Florida-Florida Orthopaedic Institute, Tampa, FL.
A 27-year-old man sustained right ring and little finger proximal interphalangeal joint fracture dislocations. He subsequently underwent bilateral hemi-hamate autograft to treat these intra-articular injuries. The patient was followed periodically and demonstrated return of normal grip strength and radiographic union of the hemi-hamate reconstruction arthroplasties.
View Article and Find Full Text PDFCureus
September 2024
General Surgery, Colchester General Hospital, Colchester , GBR.
Jt Dis Relat Surg
August 2024
Department of Orthopedic Surgery, University of Yamanashi 1110 Shimokato, Chuo, Yamanashi 409-3898, Japan.
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