Hypothenar hammer syndrome: Proposed etiology

Ferris, Brian L.; Taylor, Lloyd M.; Oyama, Karen; McLafferty, Robert B.; Edwards, James M.; Moneta, Gregory L.; Porter, John M.

doi:10.1016/s0741-5214(00)70072-3

Cited by 170 publications

(156 citation statements)

References 25 publications

Supporting

Mentioning

142

Contrasting

Unclassified

Order By: Relevance

“…Tous ces facteurs favorisants expliquent probablement en grande partie, le jeune âge et la prédominance masculine des patients atteints par le hypothenarhammer-syndrome. Par ailleurs, l'observation, lors d'exploration chirurgicales, de la présence de micro-ané-vrysmes artériels fait actuellement suspecter la présence d'un défaut congénital favorisant (de type fibro-dysplasie), qui pourrait prédisposer certains sujets au développement d'un hypothenar-hammer-syndrome [5]. Le diagnostic doit être évoqué en présence de douleurs des extrémités des doigts chez des patients qui exercent une activité à «risque».…”

Section: Discussionunclassified

«Hyopthenar-Hammer-Syndrome» - une cause rare d'ischémie des membres supérieurs

Rodoni¹,

Gallino²,

Menafoglio³

et al. 2002

Forum Med Suisse

View full text Add to dashboard Cite

Un homme de 52 ans, mécanicien, droitier, consulte notre service des Urgences à la suite de l'apparition 2 semaines plus tôt d'une douleur à l'extrémité du cinquième doigt de la main droite. Dans un premier temps le diagnostic de panaris avait été retenu et le patient traité avec une antibiothérapie et des anti-inflammatoires, sans aucun bénéfice. Le patient est en bonne santé habituelle et présente comme seul facteur de risque cardiovasculaire un tabagisme important (env. 40 paquets/années). A l'examen clinique le patient est afébrile et normotendu (120/80 mm Hg); on constate une hypothermie et une hypoesthésie des 3 derniers doigts de la main droite. Le cinquième doigt présente une lésion nécrotique très douloureuse touchant la région péri-unguéale ( fig. 1). Les pouls périphériques sont tous palpables y compris le radial et le cubital droit. Le reste de l'examen clinique est sans particularités, en particulier il n'y a pas de souffle cardiaque évo-

show abstract

Section: Discussionunclassified

«Hyopthenar-Hammer-Syndrome» - une cause rare d'ischémie des membres supérieurs

Rodoni¹,

Gallino²,

Menafoglio³

et al. 2002

Forum Med Suisse

View full text Add to dashboard Cite

show abstract

“…ilginç olarak unilateral şikayeti olan olgularda bilateral arteriografik anomali varlığı için yüksek sıklıktan bahsetmektedirler. 12 Elleri tekrarlayan travmaya uğrayan insanların büyük çoğun-luğunda sendromun görülmemesini, bu insanlarda arteryal fibrodisplazi gibi arteryal anomalilerin bulunmamasına bağlamaktadırlar. Bununla beraber yazarlar arteryal fibrodisplazi gibi arteryal anomalilerin fazla olduğu kadınlarda çekiç sendromunun neden erkeklerden daha az görüldüğünü açıklaya-mamaktadırlar.…”

Section: Olgu Sunumuunclassified

“…Bununla beraber yazarlar arteryal fibrodisplazi gibi arteryal anomalilerin fazla olduğu kadınlarda çekiç sendromunun neden erkeklerden daha az görüldüğünü açıklaya-mamaktadırlar. 12 Arteryal anomalilerin yanı sıra, sigara da çekiç sendromunda predispozan bir etmen olarak kabul edilir. 13 Yani tekrarlayan travmalı meslek çalışanlarında sigara, hastalığın oluşu-munda ek bir risk faktörüdür.…”

Section: Olgu Sunumuunclassified

Thenar Hammer Syndrome: Case Report

Özçelık¹,

Mersa²,

Kabakas³

et al. 2012

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

1742ekiç sendromu, günlük aktivitelerde elin bir çekiç gibi kullanılması sonucu el arterlerinin terminal bölge yaralanması ile karakterize nadir görülen bir sendromdur.1,2 Alttaki kemiğe karşı tekrarlayan travmalar arterde intima ve media yaralanmasının neden olduğu trombozis ve/veya anevrizmal dilatasyonlarla sonuçlanabilir ki, bu durum parmaklarda iskemik semptomlar (soğuk intoleransı, ülser, gangren gibi) ile kendini gösterir.1 Genellikle dominant elde gözlenen çekiç sendromu, hipotenar (ulnar arter kaynaklı) veya tenar (radial arter kaynaklı) bölgede olmasına göre sınıflanır ve adlandırılır. Tenar çekiç sendromu (TÇS), hipotenar çekiç sendromu (HÇS)'ndan oldukça az görülür. Her iki sendrom tekrarlayan travmaların yaşandığı sektöryel iş alanlarında çalışanlar (çekiç, tornavidanın sıklıkla kullanıldığı işler gibi) ile sportif aktivitelerde (dağcılık, tenis, golf, hokey gibi) bulunanlarda gözlenir.1,3 Bununla beraber radial arter trombozu etiyolojik olarak bir ganglion basısına sekonder veya anatomik enfiye çukuru içinde ekstensor pollicis longusun arteri çaprazladığı yerde kronik travmaya bağlı olarak da görülebilmektedir.Tenar Çekiç Sendromu Ö ÖZ ZE ET T "Tenar çekiç sendromu" tekrarlayan travmalara sekonder olarak radial arterin tıkanması ile oluşan ve oldukça nadir rastlanan bir hastalıktır. Arter tekrarlayan şekilde travmatize olduğunda intimal yaralanma, tromboz ve damar dilatasyonu gelişir. Bu vasküler lezyonlar soğuk intoleransı, ülser ve gangren gibi iskemik parmak semptomları ile sonuçlanır. Bu yazıda sağ el başparmağında tekrarlayan travmaya sekonder gelişen semptomatik başparmak ulnar taraf digital arter tıkanması olgusu sunuldu.A An na ah ht ta ar r K Ke el li im me el le er r: : Çekiç parmak sendromu; radial arter; başparmak (el) A AB BS ST TR RA AC CT T "Thenar hammer syndrome" is a rare disorder arising from radial artery occlusion secondary to repeated trauma. When the artery is traumatized repeatedly, intimal injury, thrombosis and vascular dilation develop. These vascular lesions result in ischemic finger symptoms like cold intolerance, ulceration and gangrene. In this paper, a case of symptomatic thumb ulnar side digital artery occlusion which developed secondary to repeated trauma of the right thumb is presented.

show abstract

“…Secondary to their rarity, the etiology of these lesions is not yet understood. Ulnar artery aneurysms have been characterized in the adult population, usually occurring secondary to occupationally acquired, repetitive stress disorders such as hypothenar hammer syndrome (1)(2)(3). The present case report describes the course of treatment for an ulnar aneurysm in the wrist of a two-year-old boy, along with a brief review of the existing literature detailing other approaches to management.…”

mentioning

confidence: 98%

Diagnosis and excision of an ulnar artery aneurysm in a two-year-old boy

2010

View full text Add to dashboard Cite

U lnar artery aneurysms are exceedingly rare in children younger than 10 years of age, with fewer than 10 cases reported worldwide. Secondary to their rarity, the etiology of these lesions is not yet understood. Ulnar artery aneurysms have been characterized in the adult population, usually occurring secondary to occupationally acquired, repetitive stress disorders such as hypothenar hammer syndrome (1-3). The present case report describes the course of treatment for an ulnar aneurysm in the wrist of a two-year-old boy, along with a brief review of the existing literature detailing other approaches to management. CASE prESEntAtionA two-year-old boy presented with a bump on the left arm, which was noticed by the mother during a trip to the emergency room for suspected trauma to the wrist. The mass was originally believed to be a ganglion cyst. It was not known whether the mass had changed in size between the time of discovery and the time of visit to the office. Apart from the visit to the emergency room, the patient's medical history involved a case of omphalitis at 21 days and a frenectomy for tongue-tie at 1.5 months of age, with no history of arterial line placement. The patient's family history of similar lesions was negative.Ultrasound characterized the mass as an ovoid lesion, with the possibility of being a large pseudoaneurysm of the ulnar artery.On physical examination in the office, the mass on the left wrist appeared to be a ganglion cyst. Neither bruit nor thrill were noted, and neurovascularity was normal. No finger ischemia was noted.Magnetic resonance angiography identified the mass on the volar aspect of the left wrist to be a large pseudoaneurysm of the distal ulnar artery just anterior to the wrist. The dimensions were approximately 1.8 cm in length by 1.0 cm in width by 1.2 cm in height. Heterogeneous signal intensities with hyperdense elements on T1 were suggestive of thrombus. No arteriovenous malformations were noted. Magnetic resonance imaging suggested a true aneurysm with thrombosis. The lesion was not determined to occlude the ulnar artery, and an angiographic arteriogram was to be performed to determine both the characteristics of the lesion and whether repair of the ulnar artery was necessary after excision of the aneurysm. Consultation with a geneticist was also elected to investigate possible clinically important congenital or connective tissue disorders such as Kawasaki, Marfan's or Ehlers-Danlos syndromes because they have been implicated in the development of ulnar artery aneurysms (4,5). Based on meeting with the geneticist, the patient was determined to have no connective tissue disorders.Intraoperative arteriogram, 16 days after the magnetic resonance imaging/magnetic resonance angiography, noted that the ulnar artery was completely occluded (Figure 1). No contrast entered the lesion itself and no emboli were noted. A long gap between the end of contrast and the level of the wrist was case report ©2010 Pulsus Group Inc. All rights reserved i Amjad, t Murphy, E Zahn. Diagnosis ...

show abstract

Hypothenar hammer syndrome: Proposed etiology

Cited by 170 publications

References 25 publications

«Hyopthenar-Hammer-Syndrome» - une cause rare d'ischémie des membres supérieurs

«Hyopthenar-Hammer-Syndrome» - une cause rare d'ischémie des membres supérieurs

Thenar Hammer Syndrome: Case Report

Diagnosis and excision of an ulnar artery aneurysm in a two-year-old boy

Contact Info

Product

Resources

About