Document Detail

Hypothenar hammer syndrome: a case and brief review.
MedLine Citation:
PMID:  22169157     Owner:  NLM     Status:  Publisher    
Hypothenar hammer syndrome is an uncommon cause of upper-extremity ischemia that is often overlooked in the absence of a thorough occupational and recreational history. Importantly, it is a reversible cause of hand ischemia that, if missed, can lead to significant morbidity and even amputation. The occupational ramifications and quality of life of those affected can be significant. Its relative rarity, set against the ubiquitous use of the hand as a 'hammer' is noteworthy. Several other causes of hand ischemia can present similarly; therefore, consideration of other etiologies must be thoroughly investigated. Key distinguishing clinical features, in addition to a detailed occupational and recreational history, may include characteristic sparing of the thumb, the absence of a hyperemic phase in 'Raynaud's phenomenon', and a positive Allen's sign. Both non-invasive and invasive diagnostic studies, including bilateral upper-limb segmental pulse volume recordings (PVR), arterial duplex examination, and upper-extremity angiography, are complementary to a thorough history and physical examination. Optimal management strategies are not well defined because of its rarity and resultant lack of quality, evidence-based data. Though most cases can be successfully managed non-operatively, micrographic arterial reconstruction may be limb saving in severe or recalcitrant cases. Newer, experimental strategies including selective sympathetic blockage using botulinum toxin A have been reported in a few recalcitrant cases. The brief case description illustrates the typical presentation and potential treatment strategies employed in a difficult case. A review of relevant literature is also presented.
Keith Swanson; John R Bartholomew; Rolf Paulson
Related Documents :
22038797 - Survey of the 2009 commercial optical biosensor literature.
21962077 - Reviewing the use of ethylcellulose, methylcellulose and hypromellose in microencapsula...
21771267 - Evaluation of methodology and quality characteristics of systematic reviews in orthodon...
14555907 - Bilateral corneal anesthesia associated with diaphragmatic paralysis, ovarian failure, ...
9108187 - Candida tropicalis arthritis in a patient with acute myeloid leukemia successfully trea...
17370687 - Is increasing mb ratio a positive indicator of declining leprosy?
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-14
Journal Detail:
Title:  Vascular medicine (London, England)     Volume:  -     ISSN:  1477-0377     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610930     Medline TA:  Vasc Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Cleveland Clinic.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  X-band rapid-scan EPR of nitroxyl radicals.
Next Document:  Factors affecting the diagnostic delay in amyotrophic lateral sclerosis.