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Orthop J Sports Med 2020 May 27;8(5):2325967120919389. Epub 2020 May 27.

Houston Methodist Orthopedics and Sports Medicine, Houston, Texas, USA.

Background: Hamate hook fractures can occur as a result of repetitive contact with the knob of the bat used in the sport of baseball. Hamate hook excision has resulted in excellent outcomes and return to sport (RTS) in elite baseball players. The ideal treatment for hamate stress response before the development of a fracture line is unknown. Read More

Ortop Traumatol Rehabil 2020 Apr;22(2):143-149

University Center of Anápolis - UniEVANGÉLICA.

Capitate and hamate fractures are infrequent injuries and are uncommon in isolation. A capitate fracture is usually associated with a scaphoid fracture. The primary mechanism of injury is a fall with the wrist in hyperextension. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Apr;34(4):489-492

No.1 Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan Hebei, 063000, P.R.China.

Objective: To explore the effectiveness of hollow screw for the treatment of basilar part fracture of hamate hook.

Methods: Five patients with basilar part fracture of hamate hook, aged 24-47 years (mean, 31 years) were treated with open reduction and hollow screw fixation between June 2015 and February 2019. There were 4 males and 1 female. Read More

Med J Islam Repub Iran 2019 26;33:152. Epub 2019 Dec 26.

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

Hemi-hamate arthroplasty, a new attractive method for treatment of unstable Proximal Interphalangeal (PIP) joint fracture-dislocations, offers several advantages over the previous methods. This study was designed to evaluate the clinical and radiological outcome of this procedure. In this study, 14 patients and 15 fingers with PIP joint fracture-dislocations were evaluated, including 8 acute and 7 chronic injuries. Read More

J Wrist Surg 2020 Apr 30;9(2):164-169. Epub 2019 Aug 30.

Department of Hand and Trauma Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands.

Hamate fractures can be treated nonoperatively, with the percutaneous Kirschner wire (K-wire) fixation, or with excision of a fractured hook of the hamate. Screw fixation is less popular owing to the risk of iatrogenic ulnar nerve injury. The aim of this study was to present the functional results of patients with hamate fractures treated with headless compression screws (HCS). Read More

Case Rep Orthop 2020 3;2020:6301692. Epub 2020 Mar 3.

Orthopaedic Trauma Center, Sapporo Tokushukai Hospital, Sapporo, Hokkaido, Japan.

We report a case of volar fourth and fifth carpometacarpal (CMC) joint dislocation complicated by a hamate hook fracture. The CMC joint was reduced in a closed fashion and temporally fixed with Kirschner wires. Using intraoperative computed tomography, the displaced fracture of the hamate hook was reduced by open reduction and internal fixation and fixed with a screw. Read More

Cureus 2020 Jan 22;12(1):e6735. Epub 2020 Jan 22.

Orthopaedics, Hospital Kuala Lumpur, Kuala Lumpur, MYS.

Dorsal dislocations of proximal interphalangeal joint with palmar lip fractures base of middle phalanx of fingers are rare, complex, and often a challenging injury to the treating hand surgeons especially in those chronic cases. Hemi-hamate arthroplasty is the preferred surgical option in treating chronic dorsal fracture-dislocations of the proximal interphalangeal joint. We report two cases with a chronic injury that have been treated with hemi-hamate arthroplasty. Read More

BMJ 2020 Mar 5;368:m614. Epub 2020 Mar 5.

Rotherham Hospital, Rotherham, UK.

Arch Bone Jt Surg 2020 Jan;8(1):70-74

Department of Orthopaedic Surgery Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

Background: The hemi-hamate arthroplasty (HHA) can restore joint congruity and stability in chronic fracture-dislocations of the proximal interphalangeal joint (PIPJ). Purpose of this study was to compare the width of the distal hamate articular surface (DHAS) to the width of the base of the middle phalanges (P2) of the fingers. We hypothesized the dimensions of the width of the DHAS would be similar to those of P2, leaving a small amount of residual DHAS width after autograft harvest. Read More

Injury 2020 Mar 27;51(3):651-655. Epub 2020 Jan 27.

University of Health Sciences, Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Background: This study aimed to compare CT and XR images of patients admitted to the emergency department due to wrist injuries and to evaluate the accuracy of XR in the diagnosis of fractures.

Methods: Patients; who admitted to ED with injuries due to wrist trauma and who underwent XR imaging and CT scans in the period from 1 January 2017 to 1 January 2018, were included in the study. CT scan image interpretation reports recorded in the hospital automation system were considered eligible to be included in the study. Read More

J Hand Surg Asian Pac Vol 2020 Mar;25(1):119-122

Department for Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center Tuebingen at the Eberhard Karls University Tuebingen, Tübingen, Germany.

This case report presents a very rare fracture combination in a perilunate dislocation including the scaphoid, capitate, hamate and triquetrum and the cornu anterior of the lunate, with an intact scapholunate ligament in a left wrist. An open reduction and internal fixation of the scaphoid, capitate, hamate and triquetrum was performed. Read More

J Hand Surg Am 2020 Jul 6;45(7):657.e1-657.e6. Epub 2020 Jan 6.

Department of Orthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address:

Purpose: Dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint can lead to joint incongruity from loss of the buttress function of the middle phalanx volar base. Hemi-hamate arthroplasty can reconstruct the volar articular surface of the middle phalangeal base where repair is not possible. We compared the anatomy of the hamate graft with the middle phalanx base. Read More

J Surg Orthop Adv 2019 ;28(4):285-289

Department of Orthopaedics, University of California, Davis, Sacramento, California.

Our institution saw four hamate fractures in the 2011 baseball season, the first season following implementation of new batting standards in collegiate baseball. The purpose of this paper was to identify whether the incidence of hamate fractures increased with the introduction of the new batting standard. Surveys sent to Division 1 collegiate baseball athletic trainers reported the number, mechanism, treatment and return to play of hamate fractures from 2008-2010 (old batting standards) and for the 2011 season. Read More

Eur J Trauma Emerg Surg 2019 Dec 6. Epub 2019 Dec 6.

Orthopaedic and Hand Surgeon, Clinics of Orthopaedics and Traumatology, Haydarpaşa Numune Training and Research Hospital, Tıbbiye Street, Selimiye District, No: 23, 34668, Istanbul, Turkey.

Purpose: Our aim was to investigate the clinical and radiological results of a hemi-hamate autograft arthroplasty method in patients with acute trauma who had a fragmented fracture of the proximal palmar joint surface of the middle phalanx and dorsal PIP subluxation.

Methods: A total of 13 fingers from 13 patients who met the criteria were included in the study (11 men and 2 women) and prospectively reviewed. The mean age of the patients was 39. Read More

Chin Med J (Engl) 2019 Nov;132(21):2572-2580

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing 100035, China.

Background: The angiography with micro-computed tomography (micro-CT) has been proved its great advantages on investigating the intra-osseous vascularity of carpal bones. But few researches have focused on the intra-hamate vascularity. This study aimed to illustrate the intra-osseous arteries of the hamate and the relationship between the intra-hamate vascularity and the avascular risk of different types of hamate fractures. Read More

J Hand Microsurg 2019 Oct 4;11(Suppl 1):S46-S49. Epub 2019 Jan 4.

St. Thomas' Hospital, London, United Kingdom.

The surgical management of proximal interphalangeal joint fracture subluxations is challenging. The hemi-hamate autograft is a useful but technically challenging technique for these injuries. We describe a simple technical note, using a bone wax template to help guide the harvest of a geometrically accurate hemi-hamate graft to facilitate accurate proximal interphalangeal joint reconstruction, while reducing donor site morbidity. Read More

J Hand Surg Am 2019 Dec 2;44(12):1101.e1-1101.e5. Epub 2019 Oct 2.

Department of Orthopedic Surgery, University of California Los Angeles, Los Angeles, CA.

Hook of the hamate fractures can be treated by various methods including cast immobilization, open reduction, and internal fixation and excision. Usually, those individuals who elect for excision have acute fractures and need to return to sporting activity or work quickly or have nonunions with persistent symptoms. There is a paucity of descriptions in the literature and textbooks of a technique to safely excise the hook of the hamate. Read More

Hand (N Y) 2019 Sep 13:1558944719873152. Epub 2019 Sep 13.

University of Pittsburgh Medical Center, PA, USA.

Treatment of proximal interphalangeal joint (PIPJ) fracture-dislocations is difficult given the potential long-term complications of the involved finger and entire hand. Several surgical methods have been utilized for management of these injuries, none of which have shown consistently favorable results. The purpose of this systematic review of the literature is to report the post-operative outcomes of multiple treatment modalities for PIPJ fracture-dislocations in various studies. Read More

Adv Orthop 2019 4;2019:2905671. Epub 2019 Aug 4.

Orthopedic & Spine Surgeon, King Abdullah University Hospital, Irbid 22110, Jordan.

Objectives: Aneurysmal bone cyst (ABC) is a benign but locally aggressive tumor. It has several challenging features. The aim of this study is to identify challenges in the diagnosis and treatment of ABC especially in patients with unusual features. Read More

J Hand Surg Asian Pac Vol 2019 Sep;24(3):342-346

Riga Stradins University, Riga, Latvia.

Multi-fragmental intra-articular middle phalanx base fractures mostly occur in young adults during sports or work-related activities. If left untreated properly proximal interphalangeal joint (PIPJ) instability and pain persists, thus impairing the hand's function and the patient's quality of life. Joint surface reconstruction with hamate osteochondral graft can be used for multi-fragmental middle phalanx base reconstruction. Read More

Eur J Radiol Open 2019 22;6:265-274. Epub 2019 Jul 22.

radiodiagnosis department, Egyptian ministry of health, Aleman general hospital, Assuit, Egypt.

Objective: To assess the diagnostic accuracy of direct wrist MR arthrography (MRA) compared to conventional MRI in diagnosis of different pathologic entities causing chronic wrist pain.

Materials And Methods: 37 consecutive patients 22 males and 15 females, with age range from 16 to 49 years "mean age 28 years" complaining of unexplained chronic wrist pain were prospectively examined by using MRI and MRA with arthroscopic correlation in 25 of them. Findings were divided into 5 main groups of lesions including triangular fibrocartilage complex (TFCC) lesions, ligamentous injuries, osseous lesions, tendon pathology and ganglion. Read More

Int J Surg Case Rep 2019 19;61:96-98. Epub 2019 Jul 19.

Department of Plastic Surgery, King Abdulaziz Medical City- Riyadh, P.O. Box 22490, Riyadh 11426, Saudi Arabia.

Introduction: Lunate dislocation is a rare and serious injury, frequently due to high-energy trauma such as a fall from height or a motor vehicle accident. Lunate dislocation is usually in the volar direction; however, dorsal dislocation of the lunate is extremely rare.

Presentation Of Case: We report a case of 55-year-old male who sustained a high-energy trauma; he was hit by a car while crossing the street. Read More

Hand (N Y) 2019 Jul 23:1558944719864450. Epub 2019 Jul 23.

5 Conte INJURY Analytics, San Carlos, CA, USA.

Professional baseball players are at risk of acute and chronic injuries to their upper extremities. Major League Baseball's Health and Injury Tracking System, a prospective injury surveillance system, was used to identify and characterize all hand and wrist injuries sustained by all Major League Baseball (MLB) and Minor League Baseball (MiLB) players during the pre-, regular, and postseason throughout 2011-2016. Injuries were included if they resulted in at least 1 day out of play and were sustained during standard baseball activities. Read More

J Orthop Sports Phys Ther 2019 07;49(7):557

A US Navy sailor was seen at an emergency department after falling on her outstretched hand. A computed tomography (CT) scan demonstrated a comminuted, nondisplaced dorsal hamate fracture. After 8 weeks of cast immobilization, a CT scan revealed no healing and physical therapy was initiated. Read More

J Xray Sci Technol 2019 ;27(4):765-772

Department of Hand Surgery, Affiliated Hospital of Nantong University, Jiangsu Province, China.

We report the case of a 19-year old man who presented to our institution with a history of pain of one week in the ulnar side of the left wrist and continuous pressing sensation in the palm. According to patient, there was no history of acute hand trauma. The conventional roentgenograms did not show the fracture and computerized tomographic (CT) scanning demonstrated a complete fracture of the hook of the hamate. Read More

Hand (N Y) 2019 Jun 11:1558944719852743. Epub 2019 Jun 11.

1 The University of Oklahoma, Oklahoma City, USA.

The purpose of this study was to evaluate the demographics and early radiographic treatment outcome of patients with carpometacarpal (CMC) injuries at our institution over a 10-year period. We conducted a retrospective review of all patients who sustained CMC injuries of the second to fifth digits between 2005 and 2015. We recorded demographic data, mechanisms of and associated injuries, treatment methods, and complications. Read More

Hand Clin 2019 08 11;35(3):287-294. Epub 2019 May 11.

Roth McFarlane Hand & Upper Limb Centre, University of Western Ontario, St. Joseph's Hospital, 268 Grosvenor Street, Suite D0-215, London, Ontario N6A 4V2, Canada. Electronic address:

Scaphoid proximal pole fractures remain a surgical challenge because of high propensity for nonunion, osteonecrosis, and ultimately carpal collapse. Options for management of nonsalvageable proximal pole fractures include non-vascularized bone grafts, vascularized pedicled bone grafts, free vascularized bone flaps, and rib cartilage grafts. The proximal pole of the hamate can also serve as a replacement arthroplasty in the setting of proximal pole scaphoid nonunions with collapse, bone loss, and/or osteonecrosis. Read More

Skeletal Radiol 2019 Dec 27;48(12):1891-1898. Epub 2019 May 27.

Department of Radiology, Kansas University Hospital, 3901 Rainbow Blvd, MS 4032, Kansas City, KS, 66160, USA.

Objective: Hook of hamate fracture, the most common swing-related wrist fracture, is commonly seen in high-level athletes. The fracture is rarely diagnosed on routine wrist radiographs, thus generally requiring CT or MR for diagnosis. Surgical excision has a high success rate, however diagnostic delay contributes to a high complication rate. Read More

Radiol Case Rep 2019 Jul 28;14(7):837-841. Epub 2019 Apr 28.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, PO Box 354755, Seattle, WA 98105, USA.

Dogs are commonly kept as household pets, but sometimes pet dogs bite people. We report the case of a 69-year-old man who was bitten by his pet pit bull terrier. The dog bite resulted in multiple open wrist fractures and dislocation of the distal radioulnar joint, requiring surgical debridement, open reduction and internal fixation, and bone grafting. Read More

Case Rep Orthop 2019 13;2019:2483142. Epub 2019 Mar 13.

Department of Orthopaedic Surgery, Baba Memorial Hospital, 4-244 Nishiku Hamadera Funao-cho Higashi, Sakai, Osaka 592-8555, Japan.

Hamate hook fractures are usually caused by direct trauma while using a tennis racket or a baseball bat. We report stress fracture of the hamate hook in a water polo player without any specific trauma. We consider that the stress fracture occurred via indirect mechanisms through the flexor tendons. Read More

GMS Interdiscip Plast Reconstr Surg DGPW 2019 29;8:Doc05. Epub 2019 Mar 29.

Department of Cranio-maxillofacial, Plastic, and Reconstructive Surgery, Carl-Thiem-Klinikum, Cottbus, Germany.

Hamate fractures are commonly divided into hook fractures and body fractures. The coronal fractures as a special form of hamate's body fracture are very rare injuries. Because of unspecific clinical findings and the mostly inconclusive x-ray imaging, these fractures are frequently overseen or misdiagnosed. Read More

Indian J Orthop 2019 Mar-Apr;53(2):374-376

Department of Orthopedic Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea.

A 32-year-old man presented with simultaneous dorsal dislocations of the index-to-little finger carpometacarpal (CMC) joint with carpal bone fractures. Closed reduction was unsuccessful even after general anesthesia. During open dorsal approach, we found interposed joint capsule in the CMC joints and after removal of the joint capsule open reduction was easily achieved. Read More

JBJS Case Connect 2019 Jan-Mar;9(1):e16

Department of Orthopaedic Surgery, Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

Case: We report the case of a 39-year-old man who sustained an acute fracture of an os hamulus proprium, which was treated with open surgical excision after nonoperative treatment was unsuccessful. At the most recent follow-up, at 6 years after surgery, the patient was asymptomatic and maintained full function of the hand and the wrist.

Conclusion: An os hamulus proprium is often confused with a fracture of the hook of the hamate, and little information exists in the literature regarding these accessory ossicles. Read More

J Hand Surg Am 2019 Nov 21;44(11):993.e1-993.e6. Epub 2019 Feb 21.

Service de Chirurgie Réparatrice et de la Main, CHU de Nice, Hopital Pasteur 2, Nice. Electronic address:

Purpose: Optimal treatment of acute hook of hamate fractures (HHF) remains controversial. Isolated acute HHF can be treated nonsurgically or surgically (with excision of the hook or open reduction internal fixation). The authors present the functional outcomes of a case series of patients who were treated with minimally invasive volar fixation for acute HHF. Read More

Orthopedics 2019 Mar 1;42(2):e232-e235. Epub 2019 Feb 1.

Incomplete hook of the hamate fractures are difficult to diagnose and should be promptly removed to expedite return to sport. From January 2000 to November 2016, 143 excisions of the hook of the hamate were performed following fracture of the hamulus. Of these 143 excisions, 17 were performed because of a preoperative diagnosis of incomplete fracture. Read More

J Hand Surg Eur Vol 2019 May 23;44(4):367-371. Epub 2019 Jan 23.

1 Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

We reviewed computerized axial tomography of 28 patients with hamate hook fractures who had surgical resection of the hook. We analysed the relationship between the fragment height ratio, fragment gap, and intraoperative findings of the tendons. We determined whether parameters in the images can predict complication of tear or disruption of the flexor tendons to the ring or little fingers. Read More

Acta Orthop Traumatol Turc 2019 Mar 9;53(2):115-119. Epub 2019 Jan 9.

Hand Unit and Upper Extremity, Department of Orthopaedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain.

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 men and 1 woman; mean age: 32 years (range, 22-48 years)). In eight patients (61%) the fracture was associated with ulnar nerve neuritis in Guyon's canal. Read More

Tech Hand Up Extrem Surg 2019 Jun;23(2):84-87

Cleveland Clinic.

Ulnar-sided carpometacarpal (CMC) joint fracture dislocations are relatively uncommon, frequently associated with fractures of the metacarpal base and/or hamate, and often sustained by young male individuals secondary to striking a hard object. The complexity of ulnar-sided CMC fracture dislocations necessitates careful restitution of anatomic alignment and joint congruency for mobility and stability. Miniaturization of the external fixation device has allowed application to the hand. Read More

Medicine (Baltimore) 2018 Nov;97(46):e13275

Departments of Physical Medicine and Rehabilitation, Dongguk University College of Medicine, Gyeonggi-do.

Background: The aim of the study was to report characteristics of isolated hook of hamate fractures related to sports that require a strong grip and to identify factors affecting early diagnosis and recovery period.

Methods: A comprehensive literature search was conducted using MEDLINE, EMBASE, SCOPUS, Web of Science, the Cochrane Central Register of Controlled Trials, the World Health Organization International Clinical Trials Registry Platform, and the clinical trials registry and database of the US National Institutes of Health (ClinicalTrials.gov). Read More

J Hand Surg Asian Pac Vol 2018 Dec;23(4):441-449

1 Brighton and Sussex Medical School, University of Brighton, London, UK.

Background: Within hand trauma, the management of unstable, intra-articular fractures of the base of the middle phalanx remains highly controversial. The objective of this research was to determine which operation gives the best outcome in the management of displaced, intra-articular fractures of the base of the middle phalanx causing instability of the proximal interphalangeal joint.

Methods: A scoping study was performed to determine the evidence available and the terminology used. Read More

J Hand Surg Am 2019 Aug 9;44(8):696.e1-696.e6. Epub 2018 Nov 9.

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD. Electronic address:

Purpose: The purpose of this study was to determine the relationship between hemihamate graft size and proximal interphalangeal (PIP) joint flexion in a biomechanical fracture-dislocation model.

Methods: We simulated middle finger PIP fracture-dislocations in 5 cadaver hands by resecting 50% of the palmar articular surface of the middle phalanx (P2) base. Fluoroscopy was used to confirm dorsal subluxation of the middle phalanx base after resection. Read More

Arch Orthop Trauma Surg 2019 Jan 9;139(1):135-139. Epub 2018 Nov 9.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Yanagido 1-1, Gifu, 501-1194, Japan.

Fracture-dislocations of the fourth and fifth carpometacarpal (CMC) joints present a complex situation. Misdiagnosis and inadequate treatment may cause malunion and residual subluxation, which lead to painful arthritis and grip weakness. Open reduction along with internal fixation is the treatment of choice, but there is no consensus on an optimal treatment approach. Read More

Orthop J Sports Med 2018 Oct 17;6(10):2325967118803090. Epub 2018 Oct 17.

Kerlan-Jobe Orthopaedic Clinic, Los Angeles, California, USA.

Background: Fractures of the hook of hamate in baseball players are significant injuries that can lead to pain and missed time from competition. The diagnosis is typically delayed because of the vagueness of symptoms and normal radiographic findings. Excision of the nonunited fragment has been supported as the primary treatment, but there are currently limited information and data on a timetable for return to competition after surgery. Read More

J Hand Surg Am 2019 Jul 2;44(7):611.e1-611.e5. Epub 2018 Oct 2.

University Hospitals Case Medical Center, Department of Orthopaedic Surgery, University Hospitals of Cleveland, Cleveland, OH; Yale Medicine Orthopaedics, New Haven, CT.

Purpose: The hook of the hamate is an anatomical structure that separates the ulnar border of the carpal tunnel from Guyon's canal and serves as a landmark for surgeons. The hook of the hamate is also subject to fracture from injury. We hypothesize that there are variations in the hook of the hamate in the general population. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 08;32(8):984-988

Department of Hand Surgery, People's Hospital of Longhua, Shenzhen Guangdong, 518109, P.R.China.

Objective: To explore the effectiveness of maintaining the stability between the fourth and the fifth metacarple base during the treatment in the hamate-metacarpal joint injury.

Methods: Between September 2015 and June 2017, 13 cases of hamate-metacarpal joint injury were treated, including 12 males and 1 female, aged from 17 to 55 years (mean, 30.8 years). Read More

Radiol Case Rep 2018 Dec 13;13(6):1163-1165. Epub 2018 Sep 13.

Texas Children's Hospital, Department of Plastic Surgery and Orhtopedic Surgery, 6701 Fannin Street 8th Floor, Houston, TX 77030, USA.

Coalition of the carpal bones is a relatively uncommon anatomic anomaly. The majority of carpal coalitions occur between the lunate and triquetrum. There are rare reports of coalition involving the hamate and pisiform. Read More

Oper Orthop Traumatol 2019 Oct 14;31(5):393-407. Epub 2018 Sep 14.

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt a. d. Saale, Deutschland.

Objective: Restoration of proximal interphalangeal joint stability with preservation of mobility by reconstruction of the middle phalanx base using an osteochondral graft from the carpometacarpal joint surface of the hamate.

Indications: Acute and older isolated destruction of the palmar middle phalanx base >25%.

Contraindications: Destruction of the head of the proximal phalanx, advanced chondropathia of the head of the proximal phalanx, extensive soft tissue injury with loss of skin coverage at the proximal interphalangeal joint. Read More

Hand (N Y) 2020 May 18;15(3):365-370. Epub 2018 Aug 18.

Torrance Orthopaedic & Sports Medicine Group, CA, USA.

Fractures of the hook of the hamate are rare. Nonoperative management has historically been immobilization in a short arm cast (SAC) without thumb immobilization with a high reported incidence of nonunion. The high prevalence of nonunion following nonoperative treatment may be secondary to motion at the fracture site. Read More