Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach

A R Tolat; J A Humphrey; P D McGovern; J Compson

doi:10.1016/j.injury.2014.05.008

Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach

A R Tolat, J A Humphrey, P D McGovern, J Compson

Medway Maritime Hospital

Research output: Contribution to journal › Article › peer-review

16 Citations (Scopus)

Abstract

Introduction
Direct excision of a symptomatic ununited hook of hamate fracture is the gold standard, most frequently via a Guyon space approach. The open carpal tunnel approach is another option, which has not previously been commonly considered and not reported in a peer review journal. Our study aims to highlight the carpal tunnel approach as a successful technique in a consecutive series of ununited hook of hamate fractures.

Patients and methods
Seven patients (all male and mean age 30.7 years) were reviewed with symptomatic ununited fractures following a period of cast immobilization. All the patients operated on underwent excision of the hook of hamate fragment via the open carpal tunnel approach.

Results
All patients successfully returned to their pre-injury level of functioning after 8–12 weeks and there were no complications.

Conclusions
Our study highlights the open carpal tunnel approach as a successful technique for open excision of symptomatic ununited hook of hamate fractures, because of its familiarity, ease of performance, excellent visualization and low morbidity.

Original language	English
Pages (from-to)	1554-1556
Number of pages	3
Journal	Injury
Volume	45
Issue number	10
DOIs	https://doi.org/10.1016/j.injury.2014.05.008
Publication status	Published - Oct 2014

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title = "Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach",

abstract = "IntroductionDirect excision of a symptomatic ununited hook of hamate fracture is the gold standard, most frequently via a Guyon space approach. The open carpal tunnel approach is another option, which has not previously been commonly considered and not reported in a peer review journal. Our study aims to highlight the carpal tunnel approach as a successful technique in a consecutive series of ununited hook of hamate fractures.Patients and methodsSeven patients (all male and mean age 30.7 years) were reviewed with symptomatic ununited fractures following a period of cast immobilization. All the patients operated on underwent excision of the hook of hamate fragment via the open carpal tunnel approach.ResultsAll patients successfully returned to their pre-injury level of functioning after 8–12 weeks and there were no complications.ConclusionsOur study highlights the open carpal tunnel approach as a successful technique for open excision of symptomatic ununited hook of hamate fractures, because of its familiarity, ease of performance, excellent visualization and low morbidity.",

author = "Tolat, {A R} and Humphrey, {J A} and McGovern, {P D} and J Compson",

year = "2014",

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doi = "10.1016/j.injury.2014.05.008",

language = "English",

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T1 - Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach

AU - Tolat, A R

AU - Humphrey, J A

AU - McGovern, P D

AU - Compson, J

PY - 2014/10

Y1 - 2014/10

N2 - IntroductionDirect excision of a symptomatic ununited hook of hamate fracture is the gold standard, most frequently via a Guyon space approach. The open carpal tunnel approach is another option, which has not previously been commonly considered and not reported in a peer review journal. Our study aims to highlight the carpal tunnel approach as a successful technique in a consecutive series of ununited hook of hamate fractures.Patients and methodsSeven patients (all male and mean age 30.7 years) were reviewed with symptomatic ununited fractures following a period of cast immobilization. All the patients operated on underwent excision of the hook of hamate fragment via the open carpal tunnel approach.ResultsAll patients successfully returned to their pre-injury level of functioning after 8–12 weeks and there were no complications.ConclusionsOur study highlights the open carpal tunnel approach as a successful technique for open excision of symptomatic ununited hook of hamate fractures, because of its familiarity, ease of performance, excellent visualization and low morbidity.

AB - IntroductionDirect excision of a symptomatic ununited hook of hamate fracture is the gold standard, most frequently via a Guyon space approach. The open carpal tunnel approach is another option, which has not previously been commonly considered and not reported in a peer review journal. Our study aims to highlight the carpal tunnel approach as a successful technique in a consecutive series of ununited hook of hamate fractures.Patients and methodsSeven patients (all male and mean age 30.7 years) were reviewed with symptomatic ununited fractures following a period of cast immobilization. All the patients operated on underwent excision of the hook of hamate fragment via the open carpal tunnel approach.ResultsAll patients successfully returned to their pre-injury level of functioning after 8–12 weeks and there were no complications.ConclusionsOur study highlights the open carpal tunnel approach as a successful technique for open excision of symptomatic ununited hook of hamate fractures, because of its familiarity, ease of performance, excellent visualization and low morbidity.

U2 - 10.1016/j.injury.2014.05.008

DO - 10.1016/j.injury.2014.05.008

M3 - Article

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VL - 45

SP - 1554

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JO - Injury

JF - Injury

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ER -

Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach

Abstract

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