title: Hamate fractures.
abstract: OBJECTIVE
  The purpose of this paper is to present our experience in the treatment of the fractures of the hamate and to make a review of the literature on this topic.
  
  
  METHODS
  We retrospectively reviewed 10 patients treated in our clinic between 2005-2012 suffering from fractures of the hamate. Six cases were fractures of the body and four were fractures of the hamate. Five cases were of associated injuries. Diagnostic delay ranged from 30 days to 2 years. Patient follow-up ranged from 1 to 10 years. Patient satisfaction was evaluated using the DASH questionnaire. Five patients with a fracture of the body underwent surgery, and one was treated conservatively. Two patients with fracture of the hook of the hamate were treated with immobilization, and two more patients had the fragment removed.
  
  
  RESULTS
  The grip strength and the digital clip were reduced in 2 cases. Flexion and extension of the wrist was limited in 3 cases. The mobility of the fingers was normal in all the cases, except in one. The results obtained from the DASH questionnaire were normal in all the cases, except in one case of fracture of the hamate, and in two cases of fracture of the body.
  
  
  CONCLUSIONS
  The surgical treatment should reduce the dislocation and stabilize the injuries with osteosynthesis. The fractures of the hamate are usually diagnosed late, and the most recommended treatment is removal of the fragment, although it cannot be deduced from this study.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Morales Meseguer, Murcia, España. Electronic address: j_sarabia_condes@hotmail.com.
authors.forename: J M
authors.initials: JM
authors.lastname: Sarabia Condés
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Morales Meseguer, Murcia, España.
authors.forename: L
authors.initials: L
authors.lastname: Ibañez Martínez
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Morales Meseguer, Murcia, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Sánchez Carrasco
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Morales Meseguer, Murcia, España.
authors.forename: F J
authors.initials: FJ
authors.lastname: Carrillo Julia
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Morales Meseguer, Murcia, España.
authors.forename: E L
authors.initials: EL
authors.lastname: Salmerón Martínez
mesh_terms: D000328:Adult; D057210:Delayed Diagnosis; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D051225:Hamate Bone / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014954:Wrist Injuries / Q000175:diagnosis / Q000601:surgery*
keywords: Fracturas ganchoso; Fractures hamate; Outcomes; Resultados; Tratamiento; Treatment