Document Detail


Spontaneous totally thrombosed pseudoaneurysm mimicking a tendon tear of the wrist.
MedLine Citation:
PMID:  20954658     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Wrist pseudoaneurysm is commonly caused by iatrogenic procedures such as blood gas puncture, arterial-venous shunting for hemodialysis, or noniatrogenic causes such as blunt trauma. The mechanism of pseudoaneurysm formation is arterial wall damage with subsequent blood leakage that collects in surrounding tissue. This article presents a case of a 32-year-old woman who had sudden onset left wrist pain with a snap sound and a mass 1 cm in diameter after pulling a heavy object while working. A wrist flexor tendon tear was diagnosed after evaluation. Musculoskeletal ultrasound revealed a partially thrombosed pseudoaneurysm. The wrist pseudoaneurysm was totally thrombosed and symptoms subsided after 3 weeks of follow-up. This case study reminds us that pseudoaneurysm could be easily confused with other wrist diseases. We discuss the differential diagnosis and management of wrist pseudoaneurysm as a reference for clinical practice.
Authors:
Shih-Wei Huang; Ta-Sen Wei; Sen-Yung Liu; Wei-Te Wang
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Publication Detail:
Type:  Journal Article     Date:  2010-10-11
Journal Detail:
Title:  Orthopedics     Volume:  33     ISSN:  1938-2367     ISO Abbreviation:  Orthopedics     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  776     Citation Subset:  IM    
Copyright Information:
Copyright 2010, SLACK Incorporated.
Affiliation:
Department of Physical Medicine and Rehabilitation, Changhua Christian Hospital, Changhua, Taiwan.
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