Hamat Kırığına Eşlik Eden 3-4 İntermetakarpal Ayrışması. Olgu Sunumu
Giriş: Hamate cisim kırıkları nadir görülen el yaralanmalarıdır ve ciddi komplikasyonlar eşlik eder. Çalışmamız literatürde bildirilen nadir olgu sunumlarından biridir.
Olgu sunumu: Olgumuz, matbaa makinesi operatörü olarak çalışan ve elini makinenin çarkları arasına sıkıştıran 51 yaşındaki bir erkek hastaya ait endüstriyel yaralanma vakasıdır. Kaza sonrası intermetakarpal ayrışmaya eşlik eden hamat kemik kırığı geliştiği görülmüştür. Olgunun hamat kemik kırıklarının ve intermetakarpal ayrışmasının redüksiyonu ve fiksasyonu gerçekleştirilmiş olup, kompartman sendromu nedeniyle fasiyotomisi gerçekleştirilmiştir. Hastanın tedavisi sonrası yeterli bir iyileşme elde edilmiştir.
Sonuç: Bildiğimiz kadarıyla daha önce literatürde bizim olgumuza benzer karpal kemik yaralanması bildirilmemiştir. Hamate kemik kırıklarının eşlik ettiği intermetakarpal ayrışma yaralanmalarında kırık osteosentezi için rijit vida tespiti, metakarpal disosiasyon için K-teli tespiti ve kompartman sendromu gelişimini önlemek için erken fasyotomi öneriyoruz.
Anahtar Kelimeler:
Karpal Kemik, El Yaralanması, Kompartman Sendromu, Hamat Kırığı
Fracture of hamate body was accompanied with 3-4 intermetacarpal dissociation: A case report
Introduction: Hamate body fractures are rare hand injuries and are accompanied by serious complications. Our study is one of the rare case reports reported in the literature.
Case report: Our case is an industrial injury case of a 51-year-old male patient who was working as a printing machine operator and got his hand stuck between the wheels of the machine. It has been observed that hamate bone fracture accompanying the intermetacarpal decomposition after the accident has developed. Reduction and fixation of hamate bone fractures and intermetacarpal dehiscence were performed, and fasciotomy was performed due to compartment syndrome. Adequate recovery was achieved after the treatment of the patient.
Conclusion: As far as we know, no carpal bone injury similar to our case has been reported in the literature before. We recommend rigid screw fixation for fracture osteosynthesis, K-wire fixation for metacarpal dissociation, and early fasciotomy to prevent the development of compartment syndrome in intermetacarpal separation injuries accompanied by hamate bone fractures.
Keywords:
Carpal Bone, Hamate Fracture, Hand Injury, Compartment Syndrome,
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- ISSN: 2630-6107
- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 2019
- Yayıncı: Çanakkale Onsekiz Mart Üniversitesi