Coronal hamate body fractures with dorsal fourth and fifth carpometacarpal joint instability: fracture patterns, injury mechanisms, surgical strategies, and outcomes - Takeaways - MDSpire
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Coronal fractures of the hamate body associated with instability in the dorsal fourth and fifth carpometacarpal joints: patterns of injury, mechanisms, surgical approaches, and clinical outcomes

  • By

  • Seung Hoo Lee

  • Hyung-Jin Chung

  • Soo Min Cha

  • June 8, 2026

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  • 1

    Hamate body fractures account for less than 5% of carpal fractures and may be more common than previously reported.

  • 2

    Surgical intervention is often required for coronal hamate body fractures due to associated displacement and instability of the CMC joints.

  • 3

    Limited literature exists on coronal hamate body fractures, with most reports being case studies or small series.

  • 4

    Fracture morphology and associated injuries were analyzed in patients with coronal hamate body fractures and CMC joint instability.

  • 5

    A stepwise surgical approach was described, focusing on fracture reduction and fixation to ensure optimal clinical outcomes.

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