Therapeutic alternatives in nonunion of hamate hook fractures: personal experience in 8 patients and review of literature.

Journal Article (Journal Article;Review)

Symptomatic nonunion frequently results after conservative treatment of hamate hook fractures, emphasizing the need of appropriate surgical strategies. A retrospective analysis of 8 patients with nonunions treated by fragment excision or open reduction and internal fixation (ORIF) at 3 centers was performed. The literature was reviewed for treatment options, as bone grafting and low-intensity pulsed ultrasound. Although fragment excision is advocated as the "gold standard" in nonunion, reports on functional results are controversial, and recent anatomic and biomechanical studies of the hook challenge this opinion. In our patients, complete relief of symptoms and comparable functional results were observed after ORIF or fragment excision. Bone grafting could supplement ORIF in selected cases. Low-intensity pulsed ultrasound may evolve as a conservative treatment option. Several alternatives to hook excision are available aiming at complete anatomic and functional recovery of hamate hook nonunion. Further experience is needed before general recommendations can be formulated.

Full Text

Duke Authors

Cited Authors

  • Scheufler, O; Radmer, S; Erdmann, D; Germann, G; Pierer, G; Andresen, R

Published Date

  • August 2005

Published In

Volume / Issue

  • 55 / 2

Start / End Page

  • 149 - 154

PubMed ID

  • 16034244

International Standard Serial Number (ISSN)

  • 0148-7043

Digital Object Identifier (DOI)

  • 10.1097/


  • eng

Conference Location

  • United States