Document Detail

Avascular necrosis of the hamate: three cases and review of the literature.
MedLine Citation:
PMID:  25364641     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Background Avascular necrosis of the hamate (hamate-AVN) is a seldom reported disease of which little is known on etiology, best treatment modalities, and outcome. Hamate-AVN can occur in multiple locations within the hamate. Case Description Case one was an 8-year-old girl with painful AVN of the hamate hook. Surgical excision of the hook was performed, leading to excellent results (follow-up 8 years). Case two was a 44-year-old man with hamate-AVN of the proximal pole surgically treated with a vascularized bone graft from the radius based on the fifth extensor compartment artery, leading to excellent results (follow-up 7 years). Case three was a 36-year-old woman with hamate-AVN of the proximal pole surgically treated with débridement and cancellous bone grafting, leading to poor results (follow-up 1 year). Literature Review Nine other cases of avascular necrosis of the hamate were found in literature, all but one treated surgically. Etiology, treatment, and results of these cases, combined with our own cases, are reviewed. Clinical Relevance This article summarizes and synthesizes all presented cases of avascular necrosis of the hamate. We hope this will be helpful to physicians in decision making when confronted with this rare entity. Level of Evidence 4.
Sebastian J Peters; C Verstappen; Ilse Degreef; Luc De Smet
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of wrist surgery     Volume:  3     ISSN:  2163-3916     ISO Abbreviation:  J Wrist Surg     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-03     Completed Date:  2014-11-03     Revised Date:  2014-11-06    
Medline Journal Info:
Nlm Unique ID:  101603430     Medline TA:  J Wrist Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  269-74     Citation Subset:  -    
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