Functional Outcome following Headless Compression Screw Fixation for Hamate Fractures

Veronique A.J.I.M. van Rijckevorsel; Caroline A. Selles; Cornelis H. van der Vlies; Berry I. Cleffken; Niels W.L. Schep

doi:10.1055/s-0039-1695765

Journal of Wrist Surgery, Table of Contents

J Wrist Surg 2020; 09(02): 164-169
DOI: 10.1055/s-0039-1695765

Procedure

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Functional Outcome following Headless Compression Screw Fixation for Hamate Fractures

Authors

Veronique A.J.I.M. van Rijckevorsel

¹Department of Hand and Trauma Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands
Caroline A. Selles

¹Department of Hand and Trauma Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands
Cornelis H. van der Vlies

¹Department of Hand and Trauma Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands
Berry I. Cleffken

¹Department of Hand and Trauma Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands
Niels W.L. Schep

¹Department of Hand and Trauma Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands

Abstract

Hamate fractures can be treated nonoperatively, with the percutaneous Kirschner wire (K-wire) fixation, or with excision of a fractured hook of the hamate. Screw fixation is less popular owing to the risk of iatrogenic ulnar nerve injury. The aim of this study was to present the functional results of patients with hamate fractures treated with headless compression screws (HCS). The primary outcome was the Michigan Hand Outcome Questionnaire (MHOQ) after at least 4 months of follow-up. Nine patients were included in this retrospective cohort study. A median MHOQ total score of 67% was reported (interquartile range [IQR]: 44–76). No complications were found during follow-up. HCS fixation is a safe alternative to treat hamate fractures with good functional outcome. This is a Level IV study.

Keywords

hamate fracture - osteosynthesis - headless compression screws - functional outcome

Full Text

References

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