SavedAdd your journal

Journals / Acta Orthopaedica et Traumatologica Turcica / 2019 / Cilt: 53 - Sayı: 2

Evaluation of grip strength in hook of hamate fractures treated with osteosynthesis. Is this surgical treatment necessary?

Claudia LAMAS-GOMEZ
Laura VELASCO-GONZALEZ
Aranzazu GONZALEZ-OSUNA
Marta ALMENARA-FERNANDEZ
Luis TRİGO-LAHOZ
Xavier AGUILERA-ROIG
Pages
115–119
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In cases of ulnar nerve neuritis, neurolysis of the deep palmarbranch is mandatory.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to evaluate the outcomes of open reduction and internal fixation(ORIF) in hamate hook fractures and review the literature on this surgical procedure.Methods: We report the outcomes of ORIF of hamate hook fractures in 13 consecutive patients (12 menand 1 woman; mean age: 32 years (range, 22e48 years)).
📊
Key Findings & Data:In eight patients (61%) the fracture wasassociated with ulnar nerve neuritis in Guyon's canal.
💡
Conclusion & Impact:In cases of ulnar nerve neuritis, neurolysis of the deep palmarbranch is mandatory.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: The aim of this study was to evaluate the outcomes of open reduction and internal fixation(ORIF) in hamate hook fractures and review the literature on this surgical procedure.Methods: We report the outcomes of ORIF of hamate hook fractures in 13 consecutive patients (12 menand 1 woman; mean age: 32 years (range, 22e48 years)). In eight patients (61%) the fracture wasassociated with ulnar nerve neuritis in Guyon's canal. We assessed the following clinical data: age, sex,mechanism of injury, side of the injured hand and associated lesions, fracture classification, average timefrom injury to correct diagnosis, surgical technique, complications, and length of follow-up.All patients underwent radiological imaging, including standard radiographs in two planes (anteroposterior and lateral projections), and a CT study. Functional outcomes evaluated were pain, range ofmotion, grip strength, Disabilities of the arm, shoulder and hand (DASH) and Mayo wrist score.Results: The mean follow-up was 36 months (range, 12e144 months). All 13 cases were treated withORIF of the hook of the hamate. Mean VAS pain score was 5 preoperatively (4e9) and 1 (0e2) postoperatively. All patients returned to pre-injury level and only one patient felt pain on activity. Preoperative modified Mayo wrist score was 51 and the postoperative value was 94. All outcomes scoresimproved significantly from preoperative values. The patients who participated in sports postoperativelywere able to do so at or near pre-injury levels. Postoperative average range of wrist motion was 76 inextension, 71 in flexion, 14 in ulnar deviation, and 21 in radial deviation.Mean grip strength in the hand with the hook fracture was 58 kg compared with 53 Kg in the unaffectedhand. All patients returned to their pre-injury level of functioning after 10e12 weeks and there were nocomplications. Analysis of grip strength revealed values comparable with the unaffected hand.Conclusion: ORIF of hamate hook fractures is a safe and effective technique to restore normal gripstrength and return to pre-injury level. In cases of ulnar nerve neuritis, neurolysis of the deep palmarbranch is mandatory.

🔖

Cite This Article

LAMAS-GOMEZ, C., VELASCO-GONZALEZ, L., GONZALEZ-OSUNA, A., ALMENARA-FERNANDEZ, M., TRİGO-LAHOZ, L., AGUILERA-ROIG, X. (2019). Evaluation of grip strength in hook of hamate fractures treated with osteosynthesis. Is this surgical treatment necessary?. Acta Orthopaedica et Traumatologica Turcica, Cilt: 53 - Sayı: 2, 115–119. https://ajindex.com/articles/353478

References (17)

  1. Boulas HJ, Milek MA. Hook of the hamate fractures: diagnosis, treatment, and complications. Orthop Rev. 1990
  2. 19(6):518e529. O'Shea K, Weiland AF. Fractures of the hamate and pisiform bones. Hand Clin. 2012
  3. 28(3):287e300. Papp SW. Carpal bone fractures. Orthop Clin North Am. 2007
  4. 38(2):251e260. Guha AR, Marynissen H. Stress fracture of the hook of the hamate. Br J Sports Med. 2002
  5. 36(3):224e225. Kato H, Nakamura R, Horii E. Diagnostic imaging for fracture of the hook of the hamate. J Hand Surg Am. 2002
  6. 5(1):19e24. Andresen R, Radmer S, Sparmann M, Bogusch G, Banzer D. Imaging of hamate bone fractures in conventional x-rays and high-resolution computed tomography: an in vitro study. Invest Radiol. 1999
  7. 34(1):46e50. Whalen JL, Bishop AT, Linscheid RL. Nonoperative treatment of acute hamate hook fractures. J Hand Surg Am. 1992
  8. 17(3):507e511. Stark HH, Chao EK, Zemel NP, Rickard TA, Ashworth CR. Fracture of the hook of the hamate. J Bone Joint Surg Am. 1989
  9. 71(8):1202e1207. Scheufler O, Radmer S, Erdmann D, Germann G, Pierer G, Andresen R. Therapeutic alternatives in nonunion of hamate hook fractures. Personal experience in 8 patients and review of literature. Ann Plast Surg. 2005
  10. 55(2):149e154. Scheuffler O, Andresen R, Radmer S, Erdmann D, Exner K, Germann G. Hook of hamate fractures: critical evaluation of different therapeutic procedures. Plast Reconstr Surg. 2005
  11. 115(2):488e497. Tolat AR, Humphrey JA, McGovern PD, Compson J. Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach. Injury. 2014
  12. 45(10): 1554e1556. Devers BN, Douglas KC, Naik RD, Lee DH, Watosn JT, Weikert DR. Outcomes of hook of hamate fracture excision in high-level amateur athletes. J Hand Surg Am. 2013
  13. 38(1):72e76. Scheufler O, Kamusella P, Tadda L, Radmer S, Russo SG, Andresen R. High incidence of hamate hook fractures in underwater rugby players: diagnostic and therapeutic implications. J Hand Surg Am. 2013
  14. 18(3):357e363. Xiong G, Dai L, ZhengW, Sun Y, Tian G. Clinical classification and treatment strategy of hamate hook fracture. J Huazhong Univ Sci Technol. 2010
  15. 30(6):762e766. Scheufler O, Radmer S, Andresen R. Dorsal percutaneous cannulated miniscrew fixation for fractures of the hamate hook. J Hand Surg Am. 2012
  16. 17(2): 287e293. Bachoura A, Wroblewski A, Jacoby SM, Osterman LA, Culp RW. Hook of hamate fractures in competitive baseball players. Hand. 2013
  17. 8(3):302e307. Demirkan F, Calandruccio JH, Diangelo D. Biomechanical evaluation of flexor tendon func