Hamate Hook Removal, Microscrew Internal Fixation and Plaster Fixation for the Treatment of Hamate Hook Fractures

Hamate Hook Removal, Microscrew Internal Fixation and Plaster Fixation for the Treatment of Hamate Hook Fractures: a Case Series

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03108716

Enrollment

Registered

2017-04-11

Start date

2011-01-31

Completion date

2013-06-30

Last updated

2017-04-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fractures, Bone

Brief summary

To compare the effects of hamate hook removal, microscrew internal fixation and plaster fixation on fracture healing, work, life, and exercise recovery in patients with hamate hook fractures by retrospective case analysis.

Detailed description

Hamate hook fractures are rare, and mainly occur during sports activities. Its projection is often obscured by other carpal bone in conventional X-ray plain films, so hamate hook fractures are the most easily missed injury in hand surgery. As the incidence of such fractures is too small, it brings some difficulties in the clinical choice of correct and effective treatment. Currently, treatment programs of hamate hook fractures also are not consistent.

Interventions

PROCEDUREhamate hook removal

The patients were assigned to treat with hamate hook removal.

PROCEDUREmicroscrew internal fixation

The patients were assigned to treat with microscrew internal fixation after open reduction.

OTHERshort-arm tube-type plaster fixation

The patients were assigned to treat with short-arm tube-type plaster fixation (conservative treatment).

Study design

Allocation

NON_RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Intervention model description

The investigators collected data of 28 hamate hook fractures patients, who were treated in the Siping Central People's Hospital and had complete follow-up records.

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* Hamate hook fractures finally diagnosed by X-ray and CT scan at the wrist position holding a cup and the carpal canal position (appendix 2) * Unilateral hamate hook fractures * Irrespective of age and sex

Exclusion criteria

* Incomplete follow-up data

Design outcomes

Primary

Measure	Time frame	Description
Fracture healing	At 6-18 months after surgery	Fracture healing was assessed using CT images or X-ray films at the wrist position holding a cup.

Secondary

Measure	Time frame	Description
Time of plaster fixation	At 6-18 months after surgery	To reflect fracture healing; the shorter the fixation time, the faster the healing

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026