| Occlusive arterial disease of the hand due to repetitive blunt trauma: a review with illustrative cases. | |
| | |
MedLine Citation:
|
PMID: 8463009 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: to increase clinical awareness of the role of repetitive blunt trauma, often occupational, in the development of occlusive arterial disease of the hand. STUDY DESIGN: illustrative cases are presented to emphasize the varied etiology and clinical features of occlusive arterial disease of the hand resulting from repetitive blunt trauma and an historical review of the literature is presented. RESULTS: Occlusive arterial disease of the hand due to repetitive blunt trauma is a common but often preventable disorder. The superficial location of many of the arteries of the hands and digits plus their close proximity to the bones of the hand makes them uniquely susceptible to injury from repetitive blunt trauma. An ever increasing number of occupations and leisure activities have been causally related to occlusive arterial disease of the hand. The diagnosis of occupational occlusive arterial disease due to blunt trauma is suggested by eliciting a history of repetitive blunt trauma to the hand in a patient with symptoms and/or signs of digital ischemia. The dominant hand is most commonly involved, but the non-dominant hand or both hands are affected in certain occupations. Possible predisposing or aggravating factors include tobacco use and working in a cold environment. The diagnosis of occlusive arterial disease confined to the hand or digits is confirmed by non-invasive studies in the vascular laboratory and demonstrated by arteriography. Conservative measures and protection of the hand from further trauma is sufficient for most patients, with surgical therapy being reserved for patients refractory to medical therapy or those with more severe ischemia. CONCLUSION: occlusive arterial disease of the hand may be more common than formerly thought and is often preventable by the proper use of hand tools or instruments and hand protection. This is another type of occlusive arterial disease in which tobacco may be a predisposing or aggravating factor. |
| | |
Authors:
|
P C Spittell; J A Spittell |
Related Documents
:
|
17049179 - Influence of duration of focal cerebral ischemia and neuronal nitric oxide synthase on ... 20824749 - Subintimal angioplasty with a true reentry device for treatment of chronic total occlus... 750079 - Transmural triglycerides in acute myocardial ischaemia. 9336499 - Extradural aneurysms. 1244689 - Isotope angiograpy for detection of embolic arterial occlusion. 7723359 - Antithrombotic effect of ticlopidine on occlusive thrombi of small coronary arteries in... 18985089 - Optimal temperature of graft preservation after ex vivo gene transfer in lung isografts. 8890809 - Variations in normal coronary vasodilatory reserve stratified by artery, gender, heart ... 11174799 - Endovascular stent-graft repair of primary aortocaval fistula with an abdominal aortoil... |
Publication Detail:
|
Type: Case Reports; Journal Article; Review |
Journal Detail:
|
Title: International journal of cardiology Volume: 38 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 1993 Mar |
Date Detail:
|
Created Date: 1993-05-06 Completed Date: 1993-05-06 Revised Date: 2006-07-12 |
Medline Journal Info:
|
Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: NETHERLANDS |
Other Details:
|
Languages: eng Pagination: 281-92 Citation Subset: IM |
Affiliation:
|
Division of Internal Medicine and Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arterial Occlusive Diseases / epidemiology, etiology* Cumulative Trauma Disorders / complications*, epidemiology Hand / blood supply* Hand Injuries / complications*, epidemiology Humans Male Middle Aged Occupational Diseases / epidemiology* Smoking / adverse effects |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Atrio-ventricular regurgitations in constrictive pericarditis: incidence and post-operative outcome.
Next Document: Late onset atrioventricular nodal tachycardia.