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The 'Shish–Kebab technique' in intra-articular fractures of the hamate body and concomitant 4th metacarpal base fracture

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

Hamate fractures are infrequent and often overlooked wrist injuries. Our objective is to present the Shish-Kebab method, a surgical approach utilized in the treatment of intra-articular Hamate body fractures occurring concurrently with fourth metacarpal base fractures and dislocations.

Methods

This study was conducted at a single-center using a prospective design. It included patients aged 16–65 with Kim Type IIB fractures affecting the dominant side. Patients with the same features of fracture and carpometacarpal (CMC) instability findings were divided into two groups according to the success of the closed reduction procedure. In the conservative group (8 patients), all fractures and instability findings were successfully resolved with closed reduction and a short arm plaster cast. The surgical group (8 patients), comprising those requiring open reduction and internal fixation, underwent the application of the 'shish kebab' method.

Results

At the 6th and 12th week follow-ups, no significant differences were observed between the groups concerning pVAS and QuickDash scores. However, upon examining the QuickDash scores, a statistically significant difference emerged between the 6th and 12th weeks within both the conservative (p = 0.017) and surgical (p = 0.012) groups in the intragroup analysis. Grip strength, measured as 83.78% of the contralateral side in the surgical group and 79.51% in the conservative group, did not exhibit a statistically significant difference (p = 0.462).

Conclusion

In the management of Hamate body intra-articular fractures and accompanying fourth metacarpal base fracture dislocations, good clinical results can be achieved with the 'Shish–Kebab' method in cases where closed reduction is unsuccessful.

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References

  1. Gella S, Borse V, Rutten E. Coronal fractures of the hamate: are they rare or rarely spotted? J Hand Surg Eur. 2007;32(6):721–2.

    Article  CAS  Google Scholar 

  2. Milch H. Fracture of the hamate bone. JBJS. 1934;16(2):459–62.

    Google Scholar 

  3. Cano Gala C, et al. Fracture of the body of hamate associated with a fracture of the base of fourth metacarpal: A case report and review of literature of the last 20 years. Int J Surg Case Rep. 2013;4(5):442–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Ebraheim NA, et al. Coronal fracture of the body of the hamate. J Trauma. 1995;38(2):169–74.

    Article  CAS  PubMed  Google Scholar 

  5. Hirano K, Inoue G. Classification and treatment of hamate fractures. Hand Surg. 2005;10(2–3):151–7.

    Article  PubMed  Google Scholar 

  6. Kim JK, Shin SJ. A novel hamatometacarpal fracture-dislocation classification system based on CT scan. Injury. 2012;43(7):1112–7.

    Article  PubMed  Google Scholar 

  7. Eder C, et al. Hamate’s coronal fracture: diagnostic and therapeutic approaches based on a long-term follow-up. GMS Interdiscip Plast Reconstr Surg DGPW. 2019;8:Doc05.

    PubMed  PubMed Central  Google Scholar 

  8. Wharton DM, et al. Outcome following coronal fractures of the hamate. J Hand Surg Eur. 2010;35(2):146–9.

    Article  CAS  Google Scholar 

  9. Torres J, et al. Isolated fracture of the body of the hamate bone. About a case. Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 2011;55(4):288–91.

    Article  Google Scholar 

  10. Zoltie N. Fractures of the body of the hamate. Injury. 1991;22(6):459–62.

    Article  CAS  PubMed  Google Scholar 

  11. Borse VH, Hahnel J, Faraj A. Lessons to be learned from a missed case of Hamate fracture: a case report. J Orthop Surg Res. 2010;5:64.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Arora S, et al. Combined intraarticular fracture of the body and the hook of hamate: an unusual injury pattern. J Hand Microsurg. 2013;5(2):92–5.

    Article  PubMed  Google Scholar 

  13. Langenhan R, Hohendorff B, Probst A. Coronal fracture dislocation of the hamate and the base of the fourth metacarpal bone: a rare form of carpometacarpal injury. Handchir Mikrochir Plast Chir. 2011;43(3):140–6.

    Article  CAS  PubMed  Google Scholar 

  14. Beaton DE, Wright JG, Katz JN. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Jt Surg Am. 2005;87(5):1038–46.

    Google Scholar 

  15. Dias JJ. Definition of union after acute fracture and surgery for fracture nonunion of the scaphoid. J Hand Surg Br. 2001;26(4):321–5.

    Article  CAS  PubMed  Google Scholar 

  16. Hackney LA, Dodds SD. Assessment of scaphoid fracture healing. Curr Rev Musculoskelet Med. 2011;4(1):16–22.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Athanasiou V, et al. Fracture of the body of the hamate with dorsal dislocation of the 4(th) and 5(th) metacarpals: a case report. Open Orthop J. 2017;11:447–51.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Cecava ND, Finn MF, Mansfield LT. Subtle radiographic signs of hamate body fracture: a diagnosis not to miss in the emergency department. Emerg Radiol. 2017;24(6):689–95.

    Article  PubMed  Google Scholar 

  19. Terrono A, Ferenz CC, Nalebuff EA. Delayed diagnosis in non-union of the body of the hamate: a case report. J Hand Surg Br. 1989;14(3):329–31.

    CAS  PubMed  Google Scholar 

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Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Kartal Dr. Lütfi Kırdar City Hospital University of Health Sciences, Istanbul, Turkey

    Mehmet Süleyman Abul, Ömer Hekim, Engin Eceviz & Selim Ergün

  2. Department of Orthopedics and Traumatology, Tuzla State Hospital, Istanbul, Turkey

    Özer Öztürk

Authors
  1. Mehmet Süleyman Abul
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  2. Özer Öztürk
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  3. Ömer Hekim
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  4. Engin Eceviz
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  5. Selim Ergün
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Contributions

MSA and SE researched literature and conceived the study. EE was involved in protocol development, gaining ethical approval, patient recruitment and data analysis. ÖH measured the grip strength and range of motion of the patients. ÖÖ wrote the first draft of the manuscript. All authors reviewed and edited the manuscript and approved the final version of the manuscript.

Corresponding author

Correspondence to Özer Öztürk.

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Conflict of interest

The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Ethical approval

Ethical approval for this study was obtained from University of Health Sciences Istanbul-Turkey. Ethics Committee approval numbered numbered 2022/514/223/2 was received.

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Abul, M.S., Öztürk, Ö., Hekim, Ö. et al. The 'Shish–Kebab technique' in intra-articular fractures of the hamate body and concomitant 4th metacarpal base fracture. Eur J Trauma Emerg Surg (2024). https://doi.org/10.1007/s00068-023-02424-4

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  • DOI: https://doi.org/10.1007/s00068-023-02424-4

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