{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:38:20Z","timestamp":1788586700905,"version":"build-2803163510"},"reference-count":21,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T00:00:00Z","timestamp":1545264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe aim of this study was to evaluate the outcomes of open reduction and internal fixation (ORIF) in hamate hook fractures and review the literature on this surgical procedure.\nMethods\nWe report the outcomes of ORIF of hamate hook fractures in 13 consecutive patients (12 men and 1 woman; mean age: 32 years (range, 22\u201348 years)). In eight patients (61%) the fracture was associated with ulnar nerve neuritis in Guyon's canal. We assessed the following clinical data: age, sex, mechanism of injury, side of the injured hand and associated lesions, fracture classification, average time from injury to correct diagnosis, surgical technique, complications, and length of follow-up. All patients underwent radiological imaging, including standard radiographs in two planes (anteroposterior and lateral projections), and a CT study. Functional outcomes evaluated were pain, range of motion, grip strength, Disabilities of the arm, shoulder and hand (DASH) and Mayo wrist score.\nResults\nThe mean follow-up was 36 months (range, 12\u2013144 months). All 13 cases were treated with ORIF of the hook of the hamate. Mean VAS pain score was 5 preoperatively (4\u20139) and 1 (0\u20132) postoperatively. All patients returned to pre-injury level and only one patient felt pain on activity. Preoperative modified Mayo wrist score was 51 and the postoperative value was 94. All outcomes scores improved significantly from preoperative values. The patients who participated in sports postoperatively were able to do so at or near pre-injury levels. Postoperative average range of wrist motion was 76\u00b0 in extension, 71\u00b0 in flexion, 14\u00b0 in ulnar deviation, and 21\u00b0 in radial deviation. Mean grip strength in the hand with the hook fracture was 58 kg compared with 53 Kg in the unaffected hand. All patients returned to their pre-injury level of functioning after 10\u201312 weeks and there were no complications. Analysis of grip strength revealed values comparable with the unaffected hand.\nConclusion\nORIF of hamate hook fractures is a safe and effective technique to restore normal grip strength and return to pre-injury level. In cases of ulnar nerve neuritis, neurolysis of the deep palmar branch is mandatory.\n\n\nLevel of evidence\nLevel IV, Therapeutic study.\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2018.12.005","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T09:10:00Z","timestamp":1547025000000},"page":"115-119","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of grip strength in hook of hamate fractures treated with osteosynthesis. Is this surgical treatment necessary?"],"prefix":"10.5152","volume":"53","author":[{"given":"Claudia","family":"LAMAS-G\u00d3MEZ","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"VELASCO-GONZ\u00c1LEZ","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aranzazu","family":"GONZ\u00c1LEZ-OSUNA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"ALMENARA-FERN\u00c1NDEZ","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"TR\u0130GO-LAHOZ","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"AGU\u0130LERA-RO\u0130G","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"6","key":"10.1016\/j.aott.2018.12.005_bib1","first-page":"518","article-title":"Hook of the hamate fractures: diagnosis, treatment, and complications","volume":"19","author":"Boulas","year":"1990","journal-title":"Orthop Rev"},{"issue":"3","key":"10.1016\/j.aott.2018.12.005_bib2","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.hcl.2012.05.010","article-title":"Fractures of the hamate and pisiform bones","volume":"28","author":"O'Shea","year":"2012","journal-title":"Hand Clin"},{"issue":"2","key":"10.1016\/j.aott.2018.12.005_bib3","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.ocl.2007.03.003","article-title":"Carpal bone fractures","volume":"38","author":"Papp","year":"2007","journal-title":"Orthop Clin North Am"},{"issue":"3","key":"10.1016\/j.aott.2018.12.005_bib4","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1136\/bjsm.36.3.224","article-title":"Stress fracture of the hook of the hamate","volume":"36","author":"Guha","year":"2002","journal-title":"Br J Sports Med"},{"issue":"1","key":"10.1016\/j.aott.2018.12.005_bib5","first-page":"19","article-title":"Diagnostic imaging for fracture of the hook of the hamate","volume":"5","author":"Kato","year":"2002","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.aott.2018.12.005_bib6","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1097\/00004424-199901000-00007","article-title":"Imaging of hamate bone fractures in conventional x-rays and high-resolution computed tomography: an in\u00a0vitro study","volume":"34","author":"Andresen","year":"1999","journal-title":"Invest Radiol"},{"issue":"3","key":"10.1016\/j.aott.2018.12.005_bib7","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/0363-5023(92)90363-T","article-title":"Nonoperative treatment of acute hamate hook fractures","volume":"17","author":"Whalen","year":"1992","journal-title":"J\u00a0Hand Surg Am"},{"issue":"8","key":"10.1016\/j.aott.2018.12.005_bib8","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.2106\/00004623-198971080-00013","article-title":"Fracture of the hook of the hamate","volume":"71","author":"Stark","year":"1989","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"2","key":"10.1016\/j.aott.2018.12.005_bib9","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1097\/01.sap.0000168697.05149.75","article-title":"Therapeutic alternatives in nonunion of hamate hook fractures. Personal experience in 8 patients and review of literature","volume":"55","author":"Scheufler","year":"2005","journal-title":"Ann Plast Surg"},{"issue":"2","key":"10.1016\/j.aott.2018.12.005_bib10","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1097\/01.PRS.0000149480.25248.20","article-title":"Hook of hamate fractures: critical evaluation of different therapeutic procedures","volume":"115","author":"Scheuffler","year":"2005","journal-title":"Plast Reconstr Surg"},{"issue":"10","key":"10.1016\/j.aott.2018.12.005_bib11","doi-asserted-by":"crossref","first-page":"1554","DOI":"10.1016\/j.injury.2014.05.008","article-title":"Surgical excision of ununited hook of hamate fractures via the carpal tunnel approach","volume":"45","author":"Tolat","year":"2014","journal-title":"Injury"},{"issue":"1","key":"10.1016\/j.aott.2018.12.005_bib12","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.jhsa.2012.10.011","article-title":"Outcomes of hook of hamate fracture excision in high-level amateur athletes","volume":"38","author":"Devers","year":"2013","journal-title":"J\u00a0Hand Surg Am"},{"issue":"3","key":"10.1016\/j.aott.2018.12.005_bib13","first-page":"357","article-title":"High incidence of hamate hook fractures in underwater rugby players: diagnostic and therapeutic implications","volume":"18","author":"Scheufler","year":"2013","journal-title":"J\u00a0Hand Surg Am"},{"issue":"6","key":"10.1016\/j.aott.2018.12.005_bib14","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1007\/s11596-010-0654-7","article-title":"Clinical classification and treatment strategy of hamate hook fracture","volume":"30","author":"Xiong","year":"2010","journal-title":"J\u00a0Huazhong Univ Sci Technol"},{"issue":"2","key":"10.1016\/j.aott.2018.12.005_bib15","first-page":"287","article-title":"Dorsal percutaneous cannulated mini-screw fixation for fractures of the hamate hook","volume":"17","author":"Scheufler","year":"2012","journal-title":"J\u00a0Hand Surg Am"},{"issue":"3","key":"10.1016\/j.aott.2018.12.005_bib16","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1007\/s11552-013-9527-4","article-title":"Hook of hamate fractures in competitive baseball players","volume":"8","author":"Bachoura","year":"2013","journal-title":"Hand"},{"issue":"1","key":"10.1016\/j.aott.2018.12.005_bib17","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1053\/jhsu.2003.50005","article-title":"Biomechanical evaluation of flexor tendon function after hamate hook excision","volume":"28","author":"Demirkan","year":"2003","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.aott.2018.12.005_bib18","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1148\/radiology.154.1.3964951","article-title":"Fractures of the hook of hamate: radiographics signs","volume":"154","author":"Norman","year":"1985","journal-title":"Radiology"},{"issue":"5","key":"10.1016\/j.aott.2018.12.005_bib19","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1177\/1753193417729603","article-title":"Diagnosis and management of hook of hamate fractures","volume":"43","author":"Kadar","year":"2018","journal-title":"J\u00a0Hand Surg Eur"},{"issue":"10","key":"10.1016\/j.aott.2018.12.005_bib20","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1016\/j.jhsa.2017.06.108","article-title":"Return to play and complications after hook of hamate fracture surgery","volume":"42","author":"Bansal","year":"2017","journal-title":"J\u00a0Hand Surg Am"},{"issue":"4","key":"10.1016\/j.aott.2018.12.005_bib21","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1007\/s00256-017-2814-3","article-title":"Concomitant hook of hamate fractures in patients with scaphoid fracture: more common than you might think","volume":"47","author":"Mandegaran","year":"2018","journal-title":"Skeletal Radiol"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X18302244?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X18302244?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3440\/3386","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:31:39Z","timestamp":1763465499000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3440"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,1,2]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2018.12.005","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluation of grip strength in hook of hamate fractures treated with osteosynthesis. Is this surgical treatment necessary?","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2018.12.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}