Occlusive arterial disease of the hand due to repetitive blunt trauma: a review with illustrative cases

Spittell, Peter C.; Spittell, John A.

doi:10.1016/0167-5273(93)90246-d

Cited by 21 publications

(6 citation statements)

References 30 publications

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“…A significant discrepancy exists in previously published literature about HHS, which consistently describes the pathologic changes in the ulnar artery as "aneurysms." 1,[3][4][5][6][7][8][9][10][11][14][15][16][17][18][19][20] Although all previous reports of HHS describe clear abnormalities of the palmar ulnar artery, fusiform or saccular aneurysms are not revealed by means of all published angiograms. Most frequently, segmental hand ulnar artery occlusion or patent palmar ulnar arteries with elongation and curious but consistently present corkscrew appearance are shown.…”

Section: Definitions Patients and Methodsmentioning

confidence: 99%

Hypothenar hammer syndrome: Proposed etiology

Ferris¹,

Taylor²,

Oyama³

et al. 2000

Journal of Vascular Surgery

173

143

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To our knowledge, this is the largest reported group of HHS patients. The characteristic angiographic appearance, histologic findings, and striking incidence of bilateral abnormalities in patients with unilateral symptoms lead us to conclude that HHS occurs when persons with preexisting palmar ulnar artery fibrodysplasia experience repetitive palmar trauma. This revised theory for the etiology of HHS explains why HHS does not develop in most patients with repetitive palmar trauma.

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Section: Definitions Patients and Methodsmentioning

confidence: 99%

Hypothenar hammer syndrome: Proposed etiology

Ferris¹,

Taylor²,

Oyama³

et al. 2000

Journal of Vascular Surgery

173

143

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“…9 Interindividual variations in the arterial supply of the affected hand influence the clinical symptomatology, including the potential to mask the signs of arterial occlusion. 10 The degree of completeness of the superficial palmar arch and the presence of collaterals may heavily affect the severity of symptoms.…”

Section: Incidence and Presentationmentioning

confidence: 99%

Hypothenar Hammer Syndrome

Yuen¹,

Wright²,

Johnson³

et al. 2011

Annals of Plastic Surgery

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Hypothenar hammer syndrome is an uncommon cause of symptomatic ischemia of the hand secondary to the formation of aneurysm or thrombosis of the ulnar artery as a result of repetitive trauma to the hypothenar region. The injury to the palmar ulnar artery occurs in subjects who use the hypothenar part of the hand as a hammer; the hook of the hamate strikes the superficial palmar branch of the ulnar artery in the Guyon space. Such injuries of the ulnar artery may lead to severe vascular insufficiency in the hand with thrombosis and distal embolization of the digital arteries. Imaging of vascular lesions of the hand has greatly improved in recent years with the use of Doppler, multislice computed tomographic angiography, magnetic resonance imaging, magnetic resonance angiography, and digital subtraction angiography. The aim of this article is to describe a case report using current-day imaging and to present a review of literature. Algorithms for the diagnosis and treatment of hypothenar hammer syndrome will be proposed.

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“…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. Hastamızın sigara anamnezi yoktu ama 10 senedir devam eden 1. web bölgesine kronik travma öyküsü bulunmaktaydı.…”

Section: Olgu Sunumuunclassified

Thenar Hammer Syndrome: Case Report

Özçelık¹,

Mersa²,

Kabakas³

et al. 2012

Turkiye Klinikleri J Med Sci

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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.

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Occlusive arterial disease of the hand due to repetitive blunt trauma: a review with illustrative cases

Cited by 21 publications

References 30 publications

Hypothenar hammer syndrome: Proposed etiology

Hypothenar hammer syndrome: Proposed etiology

Hypothenar Hammer Syndrome

Thenar Hammer Syndrome: Case Report

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