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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...

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Autores principales: Flanigan, Trenden, Nayak, Rusheel, Robker, Jerrick, Riedel, Barth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2023
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.
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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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