Hypothenar hammer syndrome: long-term results of vascular reconstruction

The Journal of Hand Surgery
Ryan D EndressAlexander Y Shin

Abstract

To evaluate long-term patency rates and related outcomes after vascular reconstruction of hypothenar hammer syndrome and identify patient- or treatment-related factors that may contribute to differences in outcome. We used color flow ultrasound to determine the patency of 18 vein graft reconstructions of the ulnar artery at the wrist in 16 patients. Validated questionnaires evaluated patients' functional disability with the Disabilities of the Arm, Shoulder, and Hand score, pain with the visual analog scale, and cold intolerance with the Cold Intolerance Symptom Severity survey. Patient demographics, clinical data, and surgical factors were analyzed for association with graft failure. Patients were asked to grade the result of treatment on a scale of 0 to 10. Of 18 grafts, 14 (78%) were occluded at a mean of 118 months postoperatively. Patients with patent grafts had significantly less disability related to cold intolerance according to the Cold Intolerance Symptom Severity survey in addition to significantly less pain on the visual analog scale. There was no statistical difference in Disabilities of the Arm, Shoulder, and Hand scores between patients with patent or occluded grafts. Patients graded the result significantly high...Continue Reading

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Citations

Dec 22, 2015·The Journal of Hand Surgery, European Volume·A de Niet, J H Van Uchelen
Nov 13, 2018·Hand : Official Journal of the American Association for Hand Surgery·Leah DemetriNeal C Chen
Sep 15, 2019·BMJ Case Reports·Frederique St-PierreMatthew Asher Bartlett
Apr 2, 2021·Hand : Official Journal of the American Association for Hand Surgery·David N BernsteinWarren C Hammert
Apr 23, 2021·Journal of Surgical Case Reports·Rika OdajimaMasao Kakibuchi

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