True and False Traumatic Aneurysms in the Hand

Green, David P.

doi:10.2106/00004623-197355010-00012

Cited by 81 publications

(24 citation statements)

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“…Surgical treatment could be the subject of debate: excision of the aneurysm and ligature 3,4,5,8 or arterial reconstruction. 1,2,7,9,10 We believe that even without doubt about distal perfusion, restoration of the normal blood flow is always preferable, especially in children.…”

Section: Discussionmentioning

confidence: 99%

False aneurysm of the palmar arch in a child

Duteille¹,

Saliou

Pannier³

2004

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

False aneurysm of the palmar arch in a child

Duteille¹,

Saliou

Pannier³

2004

Journal of Pediatric Surgery

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“…[9][10][11][12][13][14][15] Management options include resection with ligation, endto-end repair or grafting, depending on collateral flow and vasomotor tone. [16][17][18][19] An ultrasound-guided thrombin injection has also been reported as valid alternative therapy for pseudoaneurysms arising more proximally. 20 Recent data shows that the palmar digital artery should be repaired in a pedicular section of the finger, to significantly improve the sensitive recovery quality and cold intolerance of the fingers.…”

Section: Discussionmentioning

confidence: 99%

False aneurysm of the common digital artery. Is reconstruction with an arterial graft worth the efforts? A case report

et al. 2011

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False aneurysms in the hand are rare. A false aneurysm of the common digital artery in the palm for the second and third finger is reported, illustrating our experience with arterial graft reconstruction after excision as a valid alternative surgical therapy to a vein graft, when ligation or end-to-end anastomosis are not indicated or feasible. The superficial palmar branch of the radial artery was chosen as donor vessel based on the similarity in vessel diameter and wall thickness to the common digital arteries. Ease of harvesting and performing the microvascular anastomosis using an arterial graft allows for a viable reconstruction after false aneurysm excision in the palm.

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“…Betroffene Patienten klagen typischerweise über Schmerzen, Taubheitsgefühl, Sensibilitätsstörungen, Raynaud-Phänomen und Kältegefühl bis hin zu trophischen Störungen besonders des Zeigefingers [2,8,12,21,22,25]. Diese Symptome können Folge eines temporären Vasospasmus oder Folge von peripheren Mikroembolien aus einem Aneurysma in die Digitalarterien sein.…”

Section: Klinische Symptomatikunclassified

“…Eine zusätzliche endoskopische thorakale Sympathektomie kann zur Reduktion des sympathischen Gefäßtonus und zur Anregung der Entwicklung der kollateralen Durchblutung sinnvoll sein [6]. [8,20,21]. Wiederholte geringe äußere Krafteinwirkungen führen zunächst zu einem Vasospasmus, der nach Ausschaltung der auslösenden Ursache vollkommen reversibel sein kann.…”

Section: Klinische Symptomatikunclassified

“…Auch in diesem Stadium können physiologische Reparaturprozesse noch eine vollständige Restitutio ad integrum ermöglichen. Ein echtes Aneurysma bildet sich bei zusätzlicher Schädigung der Tunica media aus [8]. Betroffene Patienten klagen typischerweise über Schmerzen, Taubheit, Gefühlsstörun-gen, Raynaud-Phänomen und Kältegefühl bis hin zu trophischen Störungen der Finger durch periphere Mikroembolien in den Digitalarterien [2,8,12,21,22,25].…”

Section: Klinische Symptomatikunclassified

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Thenar-Hammer-Syndrom

Hohendorff

Treumann²,

Wartburg³

2008

Handchir Mikrochir plast Chir

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Chronic traumatic aneurysm of the distal radial artery is rare. The literature offers only 20 cases of chronic traumatic vascular lesions of the thenar region. We present the case of a 58-year-old cheese maker who had done manual work for years and who experienced swelling at the thenar eminence, pain, cold and warm paresthesia and circulatory disturbance in his index finger. Duplex ultrasound and CT angiography revealed an aneurysm of the superficial branch of the radial artery indicating a thenar hammer syndrome. He was subjected to a microsurgical end-to-end repair after resection of the aneurysm. This is the first closely documented case of a true aneurysm of the superficial branch of the radial artery. We also present a comprehensive survey of published studies of chronic vascular lesions of the thenar region related to thenar hammer syndrome and patient occupation, symptoms, diagnostis and therapy.

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True and False Traumatic Aneurysms in the Hand

Cited by 81 publications

References 0 publications

False aneurysm of the palmar arch in a child

False aneurysm of the palmar arch in a child

False aneurysm of the common digital artery. Is reconstruction with an arterial graft worth the efforts? A case report

Thenar-Hammer-Syndrom

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