Tolat A R, Humphrey J A, McGovern P D, Compson J
Medway Maritime Hospital, Kent, UK.
Medway Maritime Hospital, Kent, UK.
Injury. 2014 Oct;45(10):1554-6. doi: 10.1016/j.injury.2014.05.008. Epub 2014 May 17.
Direct 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.
Seven 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.
All patients successfully returned to their pre-injury level of functioning after 8-12 weeks and there were no complications.
Our 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.
有症状的钩骨骨折不愈合的直接切除是金标准，最常通过Guyon管入路进行。开放腕管入路是另一种选择，此前未被普遍考虑，也未在同行评审期刊上报道过。我们的研究旨在强调腕管入路作为一系列连续的钩骨骨折不愈合的成功技术。
7例患者（均为男性，平均年龄30.7岁）在石膏固定一段时间后，因有症状的骨折不愈合接受复查。所有接受手术的患者均通过开放腕管入路切除钩骨碎片。
所有患者在8 - 12周后成功恢复到受伤前的功能水平，且无并发症。
我们的研究强调开放腕管入路是有症状的钩骨骨折不愈合开放切除的成功技术，因其为人熟知、操作简便、视野良好且发病率低。证据级别IV病例系列。
