• A R Tolat, J A Humphrey, P D McGovern, and J Compson.
• Medway Maritime Hospital, Kent, UK.
• Injury. 2014 Oct 1; 45 (10): 1554-6.

IntroductionDirect excision of a symptomatic ununited hook of hamate fracture is the gold standard, most frequently via a Guyon space approach. The open carpal tunnel approach is another option, which has not previously been commonly considered and not reported in a peer review journal. Our study aims to highlight the carpal tunnel approach as a successful technique in a consecutive series of ununited hook of hamate fractures.Patients And MethodsSeven patients (all male and mean age 30.7 years) were reviewed with symptomatic ununited fractures following a period of cast immobilization. All the patients operated on underwent excision of the hook of hamate fragment via the open carpal tunnel approach.ResultsAll patients successfully returned to their pre-injury level of functioning after 8-12 weeks and there were no complications.ConclusionsOur study highlights the open carpal tunnel approach as a successful technique for open excision of symptomatic ununited hook of hamate fractures, because of its familiarity, ease of performance, excellent visualization and low morbidity. Level of Evidence IV Case Series.Copyright © 2014 Elsevier Ltd. All rights reserved.

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