文献简介

出版社:Hand Surgery

作  者:Hiroyuki Shimizu, Moroe Beppu, Kazuhiko Matsusita, Takeshi Arai and Toshihito Naito

编  号:DOI: 10.1142/S0218810412500293

关键字:Clinical Test, Hook of Hamate,Hamate Fracture

年  份:2012   点击量:1669

文献摘要

    We report the usefulness of hook of hamate pull test (HHPT), described by Wright et al. in 2010, along with therapeutic outcomesof hook of hamate fractures. Eleven patients (two with fresh fractures and nine with nonunion) were studied. The fractures werediagnosed with HHPT for recently encountered 4 patients and a definitive diagnosis was made by a carpal canal view and acomputed tomography (CT) scan. Treatment involved cast immobilization for one fresh fracture case, and bone fragment removal immediately over the hook for ten others. HHPT was positive in all the four cases. Union was achieved by conservative treatment,and hypothenar pain disappeared after surgery. Patients returned to work/sports two months postoperatively. HHPT was useful fordiagnosing both fresh fractures and nonunion. If HHPT is positive, CT should be performed even if the fracture is obscure on a carpal canal view.