{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:08:51Z","timestamp":1790082531579,"version":"4.0.1"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Traumatic dislocations of the fourth and fifth metacarpals, in conjunction with dorsal hamate fractures, are a common entity that can lead to the instability of the fourth and fifth carpometacarpal (CMC) joints. The fracture of the hamate, usually in a coronal dorsal shear configuration, can lead to the dorsal subluxation of the hamatometacarpal joint. Open reduction and internal fixation of the hamate bone with a dorsally applied buttress plate can re-establish a stable and congruent joint surface and anatomically align the articular surfaces of the small and ring finger CMC joints. We present a technique of internal fixation of the hamate to facilitate the reduction of the hamatometacarpal joints. Using a dorsal approach centered over the fourth and fifth CMC joints, the joint surfaces are directly visualized and subsequent fixation of the hamate is performed using a 1.3-mm T-plate to securely buttress its articular surface. This technique presents an approach to the multifaceted injury pattern of fourth and fifth CMC dislocations associated with a hamate fracture.<\/jats:p>","DOI":"10.1097\/bth.0000000000000460","type":"journal-article","created":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T13:02:45Z","timestamp":1698930165000},"page":"96-100","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Plate Fixation of Hamate Fractures in Fourth and Fifth Carpometacarpal Fracture Dislocations"],"prefix":"10.1097","volume":"28","author":[{"given":"Sanju P.","family":"Eswaran","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, SUNY Upstate Medical University, Syracuse"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Schreck","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rochester General Hospital, Rochester, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian J.","family":"Harley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, SUNY Upstate Medical University, Syracuse"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,6]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1016\/S0363-5023(03)00373-3","article-title":"Anatomy and pathomechanics of ring and small finger carpometacarpal joint injuries","volume":"28","author":"Yoshida","year":"2003","journal-title":"J Hand Surg Am"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1016\/S0363-5023(87)80064-3","article-title":"Hamatometacarpal fracture-dislocation: classification and treatment","volume":"12","author":"Cain","year":"1987","journal-title":"J Hand Surg 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fracture-dislocation of the fifth carpometacarpal joint with avulsion fracture of the hamate: a case report","volume":"139","author":"Iwata","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"key":"R10-20250512","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s12306-018-0571-7","article-title":"Use of dorsal buttress plate fixation for ulnar carpometacarpal joint fracture dislocations for early mobilization: outcomes of 11 cases","volume":"103","author":"Tay","year":"2019","journal-title":"Musculoskelet Surg"},{"key":"R11-20250512","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1142\/S2424835520500095","article-title":"Use of the bridge plate technique for the treatment of hamatometacarpal fracture-dislocations","volume":"25","author":"Jung","year":"2020","journal-title":"J Hand Surg Asian Pac Vol"},{"key":"R12-20250512","doi-asserted-by":"crossref","first-page":"1960","DOI":"10.1016\/j.jhsa.2013.06.016","article-title":"Treatment of little finger 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