Plate Fixation of Hamate Fractures in Fourth and Fifth Carpometacarpal Fracture Dislocations.
Journal
Techniques in hand & upper extremity surgery
ISSN: 1531-6572
Titre abrégé: Tech Hand Up Extrem Surg
Pays: United States
ID NLM: 9704676
Informations de publication
Date de publication:
02 Nov 2023
02 Nov 2023
Historique:
medline:
2
11
2023
pubmed:
2
11
2023
entrez:
2
11
2023
Statut:
aheadofprint
Résumé
Traumatic dislocations of the fourth and fifth metacarpals, in conjunction with dorsal hamate fractures, are a common entity that can lead to the instability of the fourth and fifth carpometacarpal (CMC) joints. The fracture of the hamate, usually in a coronal dorsal shear configuration, can lead to the dorsal subluxation of the hamatometacarpal joint. Open reduction and internal fixation of the hamate bone with a dorsally applied buttress plate can re-establish a stable and congruent joint surface and anatomically align the articular surfaces of the small and ring finger CMC joints. We present a technique of internal fixation of the hamate to facilitate the reduction of the hamatometacarpal joints. Using a dorsal approach centered over the fourth and fifth CMC joints, the joint surfaces are directly visualized and subsequent fixation of the hamate is performed using a 1.3-mm T-plate to securely buttress its articular surface. This technique presents an approach to the multifaceted injury pattern of fourth and fifth CMC dislocations associated with a hamate fracture.
Identifiants
pubmed: 37916801
doi: 10.1097/BTH.0000000000000460
pii: 00130911-990000000-00077
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest and Sources of Funding: The authors report no conflicts of interest and no sources of funding.
Références
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