Le Viet D, Lantieri L, Bouvet R
Unité de Chirurgie de la Main, Hôpital des Peupliers, Paris.
Rev Chir Orthop Reparatrice Appar Mot. 1993;79(4):292-8.
Ten cases of nonunion of the hook of the hamate were observed, eight of which had occurred during athletic activity. The mean age was 31.1 years and the mean length of time between the accident and diagnosis was 8.8 months. Diagnosis was most often confirmed by CT scanning, which, represents the examination of choice. In all cases, surgical treatment was applied using the same technique and the same surgeon. Results were evaluated according to resolution of pain, movement, strength of grip and return to former level of athletic activity. Results were very good in six patients and good in two others who returned to previous activity. One patient had only a fair result with resolution of pain. One case was a failure with persistence of pain and ulnar paralysis.
观察到10例钩骨钩不愈合病例,其中8例发生在体育活动期间。平均年龄为31.1岁,事故与诊断之间的平均时间为8.8个月。诊断最常通过CT扫描确诊,CT扫描是首选的检查方法。在所有病例中,均由同一位外科医生采用相同技术进行手术治疗。根据疼痛缓解情况、活动度、握力以及恢复到以前的体育活动水平对结果进行评估。6例患者结果非常好,另外2例恢复到以前活动水平的患者结果良好。1例患者仅疼痛缓解,结果一般。1例失败,持续疼痛并伴有尺神经麻痹。