Hamate-metacarpal fracture dislocation.
A patient is described who punched a brick wall with his clenched fist and sustained a fracture of the body of the hamate with dislocation of the ring and little finger metacarpals. He was treated successfully with surgery. This is a rare injury that is frequently missed on the initial presentation and should be considered in the differential diagnosis of posttraumatic ulnar-sided hand pain.
Kerr
H D
HD
Emergency Department, Columbia Hospital, Milwaukee, Wisconsin.
D000328:Adult; D002348:Carpal Bones / Q000293:injuries*; D003937:Diagnosis, Differential; D004635:Emergency Medicine / Q000379:methods; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008663:Metacarpus / Q000293:injuries*; D011859:Radiography; D014954:Wrist Injuries / Q000000981:diagnostic imaging* / Q000601:surgery