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Isolated Hamate Dislocation: A Case Report and Technique Guide
INTRODUCTION: Isolated hamate dislocation is a rare case with potentially devastating complications, given the resultant instability of the carpus following the injury. This has been reported in the literature before with varying constructs and varying results but never with an internal bracing cons...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599356/ https://www.ncbi.nlm.nih.gov/pubmed/37885642 http://dx.doi.org/10.13107/jocr.2023.v13.i10.3930 |
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author | Flanigan, Trenden Nayak, Rusheel Robker, Jerrick Riedel, Barth |
author_facet | Flanigan, Trenden Nayak, Rusheel Robker, Jerrick Riedel, Barth |
author_sort | Flanigan, Trenden |
collection | PubMed |
description | INTRODUCTION: Isolated hamate dislocation is a rare case with potentially devastating complications, given the resultant instability of the carpus following the injury. This has been reported in the literature before with varying constructs and varying results but never with an internal bracing construct and early rehabilitation. CASE REPORT: A 26-year-old male injured his left hand in an all-terrain vehicle accident. After initial misdiagnosis and subsequent persistent pain, he was diagnosed with a chronic dorsal hamate dislocation. An open reduction and internal brace fixation were performed resulting in an anatomic and stable reduction. By the final follow-up visit, the patient had no pain with near full range of motion and had returned to work with good to excellent outcome scores. CONCLUSION: Open reduction with ligament reconstruction utilizing an internal bracing technique provides a stable fixation and anatomic repair of the intercarpal and carpometacarpal ligaments. This is a feasible treatment option for hamate dislocations that allows for early rehabilitation in comparison to previously described methods and may result in good to excellent outcomes. |
format | Online Article Text |
id | pubmed-10599356 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105993562023-10-26 Isolated Hamate Dislocation: A Case Report and Technique Guide Flanigan, Trenden Nayak, Rusheel Robker, Jerrick Riedel, Barth J Orthop Case Rep Case Report INTRODUCTION: Isolated hamate dislocation is a rare case with potentially devastating complications, given the resultant instability of the carpus following the injury. This has been reported in the literature before with varying constructs and varying results but never with an internal bracing construct and early rehabilitation. CASE REPORT: A 26-year-old male injured his left hand in an all-terrain vehicle accident. After initial misdiagnosis and subsequent persistent pain, he was diagnosed with a chronic dorsal hamate dislocation. An open reduction and internal brace fixation were performed resulting in an anatomic and stable reduction. By the final follow-up visit, the patient had no pain with near full range of motion and had returned to work with good to excellent outcome scores. CONCLUSION: Open reduction with ligament reconstruction utilizing an internal bracing technique provides a stable fixation and anatomic repair of the intercarpal and carpometacarpal ligaments. This is a feasible treatment option for hamate dislocations that allows for early rehabilitation in comparison to previously described methods and may result in good to excellent outcomes. Indian Orthopaedic Research Group 2023-10 2023-10 /pmc/articles/PMC10599356/ /pubmed/37885642 http://dx.doi.org/10.13107/jocr.2023.v13.i10.3930 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms |
spellingShingle | Case Report Flanigan, Trenden Nayak, Rusheel Robker, Jerrick Riedel, Barth Isolated Hamate Dislocation: A Case Report and Technique Guide |
title | Isolated Hamate Dislocation: A Case Report and Technique Guide |
title_full | Isolated Hamate Dislocation: A Case Report and Technique Guide |
title_fullStr | Isolated Hamate Dislocation: A Case Report and Technique Guide |
title_full_unstemmed | Isolated Hamate Dislocation: A Case Report and Technique Guide |
title_short | Isolated Hamate Dislocation: A Case Report and Technique Guide |
title_sort | isolated hamate dislocation: a case report and technique guide |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599356/ https://www.ncbi.nlm.nih.gov/pubmed/37885642 http://dx.doi.org/10.13107/jocr.2023.v13.i10.3930 |
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