AI Article Synopsis
- The study investigates different types of hamate hook fractures, which are commonly linked to direct impacts from sports equipment, but also occur from other causes.
- A total of 50 patients were analyzed, revealing fractures in athletes from sports like baseball, as well as injuries from falls and industrial accidents, with variations in fracture morphology based on the cause.
- The findings suggest that many hamate hook fractures may result from repetitive stress rather than direct trauma, indicating a different underlying mechanism for these injuries.
Article Abstract
Background: Many studies have described hamate hook fractures resulting from direct force from sporting tools. However, several authors have reported fractures that did not occur during swing-related activities. This study aimed to understand the injury mechanism of fractures by investigating their morphologies.
Methods: We selected patients with hamate hook fractures and collected data on computed tomography scans, injury causes, and how athletes handled sporting tools.
Results: We investigated 50 patients, and the study cohort included 32 patients who sustained injuries during sports: 24 during baseball (group A) and 8 during other sports (group B). Sixteen patients sustained injuries from falls (group C), and 2 had their hands crushed while using an industrial press machine (group D). In group A, most patients had a fracture line starting from the middle section of the radial side, accompanied by osteosclerotic changes in their lower hand. In group B, most patients had fracture morphologies similar to those of most patients in group A. The main morphology of fractures in group C was a transverse fracture at the base. Two patients in group D had minimal fragments at the tip of the hooks.
Conclusions: Our results question the theory that most hamate hook fractures in athletes are caused by direct force exerted on the palm because the fracture morphology was different from that of patients injured by acute trauma from direct force. Instead, these fractures likely stem from an indirect mechanism involving repetitive force generated by the tendons and muscles acting on the hook.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571434 | PMC |
| http://dx.doi.org/10.1177/15589447241232096 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Surgical management of ulnar artery aneurysm in hypothenar hammer syndrome.
J Vasc Bras
December 2024
Universidade Federal do Ceará - UFC, Hospital Universitário Walter Cantídio - HUWC, Fortaleza, CE, Brasil.
Ulnar artery aneurysms are extremely rare and are mainly associated with hypothenar hammer syndrome, an ischemic disorder of the hand resulting from mechanical and repetitive trauma to the hypothenar region. The ulnar artery is hit against the hook of the hamate bone, causing damage to the vessel wall and leading to occlusion or formation of an aneurysm. We describe the case of a truck driver who underwent resection of an ulnar artery aneurysm in the right hand and reconstruction using end-to-end anastomosis with no complications or recurrence.
View Article and Find Full Text PDFCombination of morphological and multiparametric MR neurography enhances carpal tunnel syndrome diagnosis and evaluation.
Sci Rep
January 2025
Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
This study aimed to investigate the diagnostic and evaluative significance of combining median nerve (MN) morphological measurements with diffusion tensor imaging (DTI) and T2 mapping metrics for carpal tunnel syndrome (CTS). Morphological and multiparametric magnetic resonance neurography (MRN), along with clinical evaluation, were conducted on 33 CTS patients and 32 healthy controls. The MRN metrics included fractional anisotropy (FA), apparent diffusion coefficient (ADC), axial diffusivity (AD), radial diffusivity (RD), T2 value, cross-sectional area (CSA) and MN flattening ratio (MNFR) at both the pisiform bone and hamate bone levels.
View Article and Find Full Text PDFSurgical treatment of coronal plane hamate fractures: Clinical and radiological outcomes.
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.
Background: Understanding peripheral ulnar nerve anatomy is necessary to refine surgical treatment of ulnar nerve injuries. This study topographically mapped the ulnar nerve and its distal branch points from a well-defined surgical landmark and assessed for variations in interfascicular motor arrangement and branch size.
Methods: Fifty-four cadaveric upper extremities were dissected to expose the distal ulnar nerve and its branches (dorsal cutaneous (DCB), volar sensory (VSB), and motor branches).
Hook of Hamate Regrowth After Surgical Excision: A Report of Two Cases.
J Hand Surg Glob Online
November 2024
Eaton Orthopedics, St. Petersburg, FL.
Two high-level baseball players sustained a hook of hamate fracture while batting and were treated with excision of the fragment. Both players returned to play, and both had repeat fractures through a regenerated hook. This phenomenon of hook of hamate regeneration has not been well described in the literature.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!