vix.ing · top · new · best · stats · spec

Hamate’s coronal fracture: diagnostic and therapeutic approaches based on a long-term follow-up

2019/03/29 by Christian Eder, Eder, Christian, Ariane Scheller +5
Medicine · #610 Medical sciences #Ebraheim’s classification #Elbow and Forearm Trauma Treatment #Hamatumfraktur #Klassifikation nach Ebraheim #Medicine #Orthopedic Surgery and Rehabilitation #Shoulder and Clavicle Injuries #carpal fractures #hamate fracture #karpale Fraktur

paper · doi:10.3205/iprs000131

openalex publication_date 2019/03/29 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19

Abstract

DASH) imposed with an average of 26.22 points (MD=22/ SD=11.31/MIN=18/MAX=52). None of the re-evaluated patients sorrowed for severe pain in rest. Four patients stated pain (ranging from 3 to 5 on numeric analogue scale) after heavy burden (e.g. boxing, weight lifting). In exploring the range of motion of the operated hand the following results are obtained: dorsal extension: average 83.33° (MD=85°/SD=3.54°/MIN=75°/MAX=85°), flexion: average 77.78° (MD=80°/SD=4.41°/MIN=70°/MAX=80°). Additionally, a performance testing was conducted: fist clenching sign: complete without pain in 100%, pinch grip: complete in 77.78%, opposition digitus manus I-V complete in 66.67%. The conservative treatment is not recommended (especially shown in the here presented "add" case with a misdiagnosed fracture). The open approach has its advantages compared to a closed operative procedure and should always be intraoperatively considered as an operative expansion.

Related