Sixteen patients regarding the conservative treatment for hook of hamate fracture  

作　　者：Toshikazu Tanaka Yuichi Yoshii 

机构地区：[1]Department of Orthopedics Surgery,Kashiwa Hand Clinic,Kashiwa 2770005,Chiba,Japan [2]Department of Orthopaedic Surgery,Tokyo Medical University Ibaraki Medical Center,Ami 3000332,Ibaraki,Japan

出　　处：《World Journal of Orthopedics》2025年第4期22-29,共8页世界骨科杂志(英文)

摘　　要：BACKGROUND Hook of hamate fractures occur either due to repetitive stress from gripping sports(e.g.,golf,tennis,and baseball),leading to fatigue fracture,or as a result of trauma from falls or other injuries.The recommended treatment involves the excision of bone fragments to facilitate athletes’early return to sports;excision surgery is also performed in trauma cases.However,some patients prefer nonsurgical treatment options,and conservative treatment should be considered.AIM To present a case series of 16 patients conservatively treated for hook of hamate fractures.METHODS This study included 16(11 males and 5 females;right side,6 cases;left side,10)patients who desired conservative treatment and could be followed-up until bone union was achieved.The average age of the patients was 49.6(range:24-72)years.The average time from injury to consultation was 4.3(range:0.2-21.4)weeks.The treatment involved 4 weeks of casting from the forearm to the metacarpophalangeal joint,followed by 8 weeks of splint fixation of the wrist.Follow-up computed tomography scans were performed every 4 weeks.RESULTS Bone union was achieved in all patients.The average duration of casting was 3.7(range:0-5)weeks and that of splint fixation thereafter was 8.6(range:0-28)weeks.The patients did not exhibit joint contractures or range of motion restrictions due to prolonged immobilization.CONCLUSION Conservative treatment with external fixation may be an option for hook of hamate fractures.

关 键 词：Conservative treatment Hook of hamate FRACTURE IMMOBILIZATION TREATMENT 

分 类 号：R687.3[医药卫生—骨科学]