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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2026, Number 4

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Acta Ortop Mex 2026; 40 (4)

Tratamiento quirúrgico precoz de las fracturas del gancho del hamate con fijación mediante tornillos sin cabeza: una serie de casos latinoamericanos

Méndez-Daza CH, Montoya-Carvajal JG, Ospina AF, Castro-Rubio DA, Delgado-Baloco OJ, Bejarano M

Language: Spanish
References: 29
Page: 268-274
PDF size: 2090.74 Kb.


ABSTRACT

Introduction: the diagnosis of hamate hook fractures based on clinical suspicion can be established with conventional radiographs and computed tomography (CT). Management options include immobilization, hook resection, and open reduction with internal fixation (ORIF). The aim of this study was to determine whether patients treated with ORIF recover wrist mobility and hand grip strength. Material and methods: a retrospective analytical case series was conducted in adult patients with hamate hook fractures treated with ORIF using headless cannulated screw fixation between 2019 and 2021. Patients with additional ipsilateral or contralateral upper-limb fractures and those lost to follow-up were excluded. Outcomes evaluated included wrist range of motion, grip strength, pain scores, and complications. Results: ten patients were included in the study, eight of whom were male. The mean follow-up was 16.7 months [range 12-25 months]. Postoperative evaluation showed low pain levels (mean VAS: 1.4) and functional improvement (mean QuickDASH: 2.7), with no statistically significant differences in grip strength and wrist range of motion between the affected and unaffected sides. One complication was observed due to screw malposition in the carpometacarpal joint, causing pain and requiring implant removal. Conclusion: patients with hamate hook fractures treated with ORIF recovered wrist mobility and grip strength of the affected hand.


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