Combined thenar and hypothenar hammer syndromes: case report and review of the literature

Journal of Vascular Surgery
Robert A McCreadyJanet L Divelbiss

Abstract

Patients who use the palms of their hands as a hammer may cause irreversible damage to the radial or ulnar arteries. Damage to the intima may lead to arterial thrombosis, whereas damage to the media may cause aneurysm formation with embolization to the digital arteries, causing symptoms of ischemia. These patients may have symptoms of Raynaud syndrome, or they may have ischemic ulcerations of their fingers. Hypothenar hammer syndrome with involvement of the ulnar artery is much more frequently encountered than thenar hammer syndrome, which is caused by damage to the radial artery. We report a patient with symptomatic occlusion of both the radial and ulnar arteries secondary to repetitive trauma to the palm of his hand. In our review of the literature, we found two reports involving a total of four patients with similar findings. Both conservative and surgical treatments have been used successfully. Avoidance of the precipitating activities is important in long-term management of these patients.

References

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Feb 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T NakamuraT Hirao
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Citations

Dec 1, 2009·Journal of Hand and Microsurgery·Vasu PaiVishal Pai
Apr 17, 2013·The Journal of Emergency Medicine·Patrick M CarterJeffrey S Desmond
May 29, 2010·Orthopedics·Sabir TajMichael S Bednar
Apr 20, 2016·Case Reports in Rheumatology·Alessandro CiapettiFausto Salaffi
Aug 20, 2010·The Journal of Hand Surgery, European Volume·W B W H MelenhorstM L E Overgoor
Jun 1, 2017·Cardiovascular and Interventional Radiology·Geoffrey A Gardiner, Allison Tan
Jan 20, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Rebecca A CampbellRobert I Hacker
Nov 6, 2009·Magnetic Resonance Imaging Clinics of North America·David A LislePaul T O'Connell

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