Sarabia Condés J M, Ibañez Martínez L, Sánchez Carrasco M A, Carrillo Julia F J, Salmerón Martínez E L
Servicio de Cirugía Ortopédica y Traumatología, Hospital Morales Meseguer, Murcia, España.
Servicio de Cirugía Ortopédica y Traumatología, Hospital Morales Meseguer, Murcia, España.
Rev Esp Cir Ortop Traumatol. 2015 Sep-Oct;59(5):299-306. doi: 10.1016/j.recot.2015.02.003. Epub 2015 Mar 29.
The purpose of this paper is to present our experience in the treatment of the fractures of the hamate and to make a review of the literature on this topic.
We retrospectively reviewed 10 patients treated in our clinic between 2005-2012 suffering from fractures of the hamate. Six cases were fractures of the body and four were fractures of the hamate. Five cases were of associated injuries. Diagnostic delay ranged from 30 days to 2 years. Patient follow-up ranged from 1 to 10 years. Patient satisfaction was evaluated using the DASH questionnaire. Five patients with a fracture of the body underwent surgery, and one was treated conservatively. Two patients with fracture of the hook of the hamate were treated with immobilization, and two more patients had the fragment removed.
The grip strength and the digital clip were reduced in 2 cases. Flexion and extension of the wrist was limited in 3 cases. The mobility of the fingers was normal in all the cases, except in one. The results obtained from the DASH questionnaire were normal in all the cases, except in one case of fracture of the hamate, and in two cases of fracture of the body.
The surgical treatment should reduce the dislocation and stabilize the injuries with osteosynthesis. The fractures of the hamate are usually diagnosed late, and the most recommended treatment is removal of the fragment, although it cannot be deduced from this study.
本文旨在介绍我们治疗钩骨骨折的经验，并对该主题的文献进行综述。
我们回顾性分析了2005年至2012年在我们诊所治疗的10例钩骨骨折患者。其中6例为钩骨体骨折，4例为钩骨钩骨折。5例伴有其他损伤。诊断延迟时间为30天至2年。患者随访时间为1至10年。使用DASH问卷评估患者满意度。5例钩骨体骨折患者接受了手术治疗，1例保守治疗。2例钩骨钩骨折患者采用固定治疗，另外2例患者取出了骨折碎片。
2例患者握力和捏力下降。3例患者腕关节屈伸受限。除1例患者外，所有患者手指活动均正常。除1例钩骨钩骨折患者和2例钩骨体骨折患者外，所有患者DASH问卷结果均正常。
手术治疗应减少脱位并通过骨固定稳定损伤。钩骨骨折通常诊断较晚，尽管本研究无法得出结论，但最推荐的治疗方法是取出骨折碎片。
