Complications after Nonoperative Management of Hamate Fractures
Background:. Hamate fractures are an infrequent injury and are often missed or have a delayed diagnosis with potential for significant patient morbidity. There is a relative paucity in the literature involving large population studies of hamate fractures and subsequent complications. Gaining a bette...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2022-05-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004352 |
| _version_ | 1818553532784050176 |
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| author | Canhnghi N. Ta, BS Zachary Finley, MD Gleb A. Medvedev, MD |
| author_facet | Canhnghi N. Ta, BS Zachary Finley, MD Gleb A. Medvedev, MD |
| author_sort | Canhnghi N. Ta, BS |
| collection | DOAJ |
| description | Background:. Hamate fractures are an infrequent injury and are often missed or have a delayed diagnosis with potential for significant patient morbidity. There is a relative paucity in the literature involving large population studies of hamate fractures and subsequent complications. Gaining a better understanding of complications associated with nonoperative management will help guide the decision for operative intervention.
Methods:. The PearlDiver patient records database was used to query for patients who sustained a hamate fracture using ICD-9 and ICD-10 codes. Postinjury complications within 1 year of diagnosis were assessed using ICD-9 and ICD-10 codes for diagnoses of complications.
Results:. A total of 1120 patients who sustained a hamate hook or body fracture met inclusion and exclusion criteria and were included in the study. Patients who were managed nonoperatively showed a nonunion rate of 2%, ulnar neuropathy rate of 1.7%, and tendon rupture rate of 0.2%. In a subanalysis using only ICD-10 codes to distinguish between hook and body fractures, hook fractures demonstrated a nonunion rate of 2.2%, ulnar neuropathy rate of 2.7%, and tendon rupture rate of 0%, while body fractures had a nonunion rate of 1.2%, ulnar neuropathy rate of 1%, and tendon rupture rate of 0%.
Conclusion:. The current study shows very low rates of nonunion, ulnar neuropathy and tendon rupture after nonoperative management of hamate fractures. |
| first_indexed | 2024-12-12T09:27:01Z |
| format | Article |
| id | doaj.art-d38b48f02ffb472981fd4708971a7619 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-12T09:27:01Z |
| publishDate | 2022-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-d38b48f02ffb472981fd4708971a76192022-12-22T00:29:00ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-05-01105e435210.1097/GOX.0000000000004352202205000-00055Complications after Nonoperative Management of Hamate FracturesCanhnghi N. Ta, BS0Zachary Finley, MD1Gleb A. Medvedev, MD2* From the Tulane University School of Medicine, New Orleans, La.† Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, La.‡ Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, La.Background:. Hamate fractures are an infrequent injury and are often missed or have a delayed diagnosis with potential for significant patient morbidity. There is a relative paucity in the literature involving large population studies of hamate fractures and subsequent complications. Gaining a better understanding of complications associated with nonoperative management will help guide the decision for operative intervention. Methods:. The PearlDiver patient records database was used to query for patients who sustained a hamate fracture using ICD-9 and ICD-10 codes. Postinjury complications within 1 year of diagnosis were assessed using ICD-9 and ICD-10 codes for diagnoses of complications. Results:. A total of 1120 patients who sustained a hamate hook or body fracture met inclusion and exclusion criteria and were included in the study. Patients who were managed nonoperatively showed a nonunion rate of 2%, ulnar neuropathy rate of 1.7%, and tendon rupture rate of 0.2%. In a subanalysis using only ICD-10 codes to distinguish between hook and body fractures, hook fractures demonstrated a nonunion rate of 2.2%, ulnar neuropathy rate of 2.7%, and tendon rupture rate of 0%, while body fractures had a nonunion rate of 1.2%, ulnar neuropathy rate of 1%, and tendon rupture rate of 0%. Conclusion:. The current study shows very low rates of nonunion, ulnar neuropathy and tendon rupture after nonoperative management of hamate fractures.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004352 |
| spellingShingle | Canhnghi N. Ta, BS Zachary Finley, MD Gleb A. Medvedev, MD Complications after Nonoperative Management of Hamate Fractures Plastic and Reconstructive Surgery, Global Open |
| title | Complications after Nonoperative Management of Hamate Fractures |
| title_full | Complications after Nonoperative Management of Hamate Fractures |
| title_fullStr | Complications after Nonoperative Management of Hamate Fractures |
| title_full_unstemmed | Complications after Nonoperative Management of Hamate Fractures |
| title_short | Complications after Nonoperative Management of Hamate Fractures |
| title_sort | complications after nonoperative management of hamate fractures |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004352 |
| work_keys_str_mv | AT canhnghintabs complicationsafternonoperativemanagementofhamatefractures AT zacharyfinleymd complicationsafternonoperativemanagementofhamatefractures AT glebamedvedevmd complicationsafternonoperativemanagementofhamatefractures |