Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach |
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Authors: | A.R. Tolat J.A. Humphrey P.D. McGovern J. Compson |
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Affiliation: | 1. Medway Maritime Hospital, Kent, UK;2. King''s College Hospital, London, UK |
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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.Level of Evidence IV Case Series. |
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Keywords: | Hook of hamate fracture Carpal tunnel approach |
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