Journal of Musculoskeletal Trauma

Clinical Results of Excision of Hamate Hook in the Baseball Players with Hamate Hook Nonunion: Seoung Joon Lee, Jong Soo Lee; J Korean Fract Soc 2016;29(1):12-18. Published online January 31, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.1.12

PURPOSE
The purpose of this study is to report the clinical results of excision of the hamate hook in baseball players with hamate hook nonunion.
MATERIALS AND METHODS
This study included 10 baseball players treated with excision of the hamate hook. Among 10 players, there were 3 professional players and 7 amateur players. The clinical outcomes were evaluated using the visual analog scale (VAS) pain score, exercise performance score, and grip power. We also checked complications and time to return to the game.
RESULTS
At final follow-up, the average VAS score was 0.4 points and the average performance score was 9.0 points. The grip power was recovered to 96.7% of the opposite hand at final follow-up. Significant improvement in pain and grip power was observed after surgery. The average time to return to the game was 11.8 weeks. There was one case of postoperative ulnar nerve neuropathy, which was completely resolved within 12 weeks after surgery.
CONCLUSION
We think that excision of the hamate hook is an effective treatment to enable early return to the game without loss of grip strength in the baseball player with nonunion of the hamate hook.

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Isolated hook of hamate fracture in sports that require a strong grip comprehensive literature review
Heejae Kim, Bumsun Kwon, Jihyun Kim, Kiyeun Nam
Medicine.2018; 97(46): e13275. CrossRef

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Fracture-Dislocation of the Carpometacarpal Joint with the Fracture of Hamate: Jin Woong Yi, Whan Young Chung, Woo Suk Lee, Cheol Yong Park, Youn Moo Heo; J Korean Fract Soc 2008;21(4):297-303. Published online October 31, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.4.297

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PURPOSE
To evaluate the classification and treatment results about the injury of carpometacarpal (CMC) joint with the fracture of hamate.
MATERIALS AND METHODS
The authors categorized into 3 types (I, II, III) according to the location of injured CMC joint and type II was subdivided into 2 type (a, b) according to the size of coronal fragment of hamate fracture-type I: fracture-dislocation of 5th CMC joint with small-sized fragment or avulsion fracture of hamate, type IIa: fracture-dislocation of 4th and 5th CMC joint with small-sized fragment or avulsion fracture of hamate, type IIb: fracture-dislocation of 4th and 5th CMC joint with coronal fracture of hamate body presenting an oblique or coronal splitting fracture, and type III: type II injury associated with injury of 3rd CMC joint or coronal plane fracture of capitate. All cases were carried out the operative treatment. And radiologic results and clinical results were evaluated.
RESULTS
Type I were 2 cases, type IIa 4, type IIb 5, and type III 3. Twelve of 14 cases were excellent or good results, 1 case (type III) was fair, and 1 case (type IIa) was poor. All cases obtained anatomic reduction of CMC joint. But, the posttraumatic arthritis was observed in 1 case (poor) and the displacement of non-fixed hamate fragment was observed in 1 case (fair).
CONCLUSION
We think that it may get more favorable outcomes by the fixation of the relative large fragment of hamate with anatomical reduction of CMC joint.

Citations

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Operative treatment of hamate fractures with hamatometacarpal fracture dislocation using a self-designed dorsal buttress locking plate with trans-metacarpal pin insertion: short-term follow-up results
Seok-Won Kim, Hyung-Joon Lee, Ji-Kang Park, Dong-Min Chung
Archives of Hand and Microsurgery.2022; 27(3): 193. CrossRef
Operative Treatment of Trapezium Fractures
Ho Jung Kang, Nam Heon Seol, Man Seung Heo, Soo-Bong Hahn
Journal of the Korean Fracture Society.2009; 22(4): 276. CrossRef

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Open Reduction and OA Miniscrew Fixation of the Hamate Fracture: A Case Report: Myung Hwan Son, Mun Sik Pheo; J Korean Soc Fract 2000;13(4):992-995. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.992

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The hamate fracture is very rare injury in carpal bone fractures. The mechanism of fracture may be attributed to indirect trauma with clenched fist. We have experienced a case of fracture of the body of the hamate bone. It was treated with open reduction and OA miniscrew fixation and plaster immobilization for four weeks and physical therapy. At 21 months follow-up, the result was satisfactory without traumatic arthritis, nonunion, ulnar nerve palsy, and limitation of motion. A case of fracture of the body of the hamate bone is reported with review of literatures.

Citations

Citations to this article as recorded by

Operative treatment of hamate fractures with hamatometacarpal fracture dislocation using a self-designed dorsal buttress locking plate with trans-metacarpal pin insertion: short-term follow-up results
Seok-Won Kim, Hyung-Joon Lee, Ji-Kang Park, Dong-Min Chung
Archives of Hand and Microsurgery.2022; 27(3): 193. CrossRef
Screw Fixation Method through Temporary Kirschner Wire Hole for Coronal Hamate Fracture
Yong Gil Jo, Yohan Lee, Joonha Lee, Kee Jeong Bae, Min Bom Kim, Young Ho Lee
Archives of Hand and Microsurgery.2021; 26(4): 245. CrossRef

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