Document Detail


Bilateral thenar hammer syndrome.
MedLine Citation:
PMID:  20889363     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Thenar hammer syndrome is a very rare condition that mimics rheumatic diseases such as carpal syndrome tunnel, Raynaud's phenomenon, and hand synovitis.
OBJECTIVE: To describe the sonographic presentation of thenar hammer syndrome in a typical patient.
METHODS: Grey-scale sonography and colour Doppler imaging of the hands with an iU22 scanner (Philips) were performed.
RESULTS: In B mode, the lesion was seen as a large, rounded, heterogeneous area combining hypoechoic and echogenic components. Pseudoaneurysm was diagnosed based on presence of a cystic saccular formation arising directly from the adjacent artery and exhibiting an irregular thick wall with turbulent blood flow in the lumen. Colour Doppler showed blood flow in part of the lumen, the rest of which was filled with a thrombus seen as echogenic tissue.
CONCLUSION: Sonography can help to diagnose thenar hammer syndrome. Angiography may be unnecessary in patients with normal colour Doppler findings.
Authors:
Sandrine Jousse-Joulin; Emmanuel Plat; Bruno Guias; Maria Antonietta D'agostino; Luc Bressollette; Alain Saraux
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Joint, bone, spine : revue du rhumatisme     Volume:  78     ISSN:  1778-7254     ISO Abbreviation:  Joint Bone Spine     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100938016     Medline TA:  Joint Bone Spine     Country:  France    
Other Details:
Languages:  eng     Pagination:  212-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.
Affiliation:
Rheumatology Unit and Immunology Department, Brest Teaching Hospitals, BP 814, 29609 Brest cedex, France.
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