钩骨体骨折伴第4、5掌骨背侧脱位：1例报告
Fracture of the Body of the Hamate With Dorsal Dislocation of the 4 and 5 Metacarpals: A Case Report.
作者信息
Athanasiou Vasilis, Iliopoulos Ilias D, Pantazis Konstantinos, Panagopoulos Andreas
机构信息
Department of Hand Surgery, Orthopaedic Clinic of Patras University Hospital, Patras, Greece.
出版信息
Open Orthop J. 2017 May 30;11:447-451. doi: 10.2174/1874325001711010447. eCollection 2017.
BACKGROUND
Solitary fractures of the body of the hamate are rare. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination.
CASE REPORT
We present a case of a 36-year-old male patient who sustained an intraarticular fracture of the body of the hamate along with dorsal dislocation of the 4 and 5 metacarpals on his right dominant hand. Through a dorsal surgical approach, he underwent ORIF of the hamate with screws and stabilization of the dislocated 4 and 5 metacarpals with KW. At his last follow-up appointment, 18 months postoperatively, he had no pain, almost full range of motion on his fingers and a Mayo Wrist score of 90 points.
CONCLUSIONS
Hamate fractures are rare entities that can cause significant patient morbidity if not recognized and treated appropriately.
背景
钩骨体孤立性骨折较为罕见。其诊断困难，需要高度的临床怀疑和恰当的影像学检查。
病例报告
我们报告一例36岁男性患者，其优势右手的钩骨体发生关节内骨折，同时伴有第4、5掌骨背侧脱位。通过背侧手术入路，他接受了钩骨切开复位内固定术，使用螺钉固定，并用克氏针稳定脱位的第4、5掌骨。在术后18个月的最后一次随访中，他没有疼痛，手指活动范围几乎完全正常，梅奥腕关节评分为90分。
结论
钩骨骨折是罕见的情况，如果未得到正确识别和治疗，可能会导致患者出现严重的发病情况。
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