title: [Fractures of the hamate bone and metacarpal bone: a rare combination].
abstract: BACKGROUND
  Fractures of the hamate bone are rare, but are being seen more frequently due to the increasing popularity of racket sports and golf.
  
  
  METHODS
  A 43-year-old man presented at our emergency department with a swollen, painful left hand after hitting a concrete wall with his fist. X-rays and CT scans revealed comminuted fracture of the hamate bone and the base of the fourth metacarpal bone. Open reduction and internal fixation, using screws and Kirschner wires, were performed. The postoperative course was uneventful. At one-year follow-up the patient had regained full use of his hand.
  
  
  CONCLUSIONS
  On conventional X-rays, 60% of wrist fractures are missed. If the clinical picture indicates a fracture of the hamate bone but conventional X-rays reveal no abnormalities then a supplementary CT-scan is advisable. Non-displaced fractures, or fractures with little displacement, can be treated conservatively, but surgical treatment is preferred in the case of displacement or non-union.
authors.affiliation: VU Medisch Centrum, afd. Orthopedie, Amsterdam, the Netherlands.
authors.forename: Remko J A
authors.initials: RJ
authors.lastname: Sonnega
authors.forename: Christian B L
authors.initials: CB
authors.lastname: Zonnenberg
authors.forename: Bernard G
authors.initials: BG
authors.lastname: Schutte
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000601:surgery; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome