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Clinical Example: Hook of hamate nonunion excision
| Hook of hamate fractures are prone
to nonunion, and their diagnosis is frequently delayed or missed. Cronic
nonunions may result in flexor tendon rupure and other complications. Treatment
for most patients is excision of the small fracture fragment. |
| Click on each image
for a larger picture |
| This chronically painful nonunion was
not visible on PA, lateral and oblique films, but can be seen clearly on
this supinated oblique hamate hook view: |
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| and on this slightly different angle
of the same view |
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| Incision, directly over the prominence
of the hook |
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| Hook exposed. The ulnar artery and
nerve are retracted radially. |
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| Hook excised. |
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| Fibrous white nonunion tissue is visible
at the base. |
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 |
American
Society
for
Surgery
of the
Hand
assh.org
The Best
Resource
For Your
Hands,
Period.
|
