Document Detail


Surgical management of hypothenar and thenar hammer syndromes: a retrospective study of 31 instances in 28 patients.
MedLine Citation:
PMID:  15927326     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective study assessed the results of treatment of 29 cases of hypothenar hammer syndrome and two cases of thenar hammer syndrome. Three hands were symptom free, 15 were improved, 11 were unchanged and two were worse at a mean follow-up of 43 (range 4-60) months. Follow-up colour-coded Duplex sonography of revascularizations (n=27) revealed 13 patent, five occluded and one partially thrombosed grafts, seven grafts with aneurysmal dilatations and one coiled graft. Colour-coded Duplex sonography results after venous interposition graft combined with endoscopic thoracic sympathectomy were no better than venous interposition graft alone. All three arterial interposition grafts and two end-to-end-reconstructions were patent. The Duplex outcomes of the revascularizations did not correspond well with the clinical outcomes. Endoscopic thoracic sympathectomy was associated with a high rate of inconvenient side effects.
Authors:
R S M Dethmers; P Houpt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  30     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-06-27     Completed Date:  2005-11-15     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  419-23     Citation Subset:  IM    
Affiliation:
Centre for Plastic, Reconstructive and Handsurgery, Isala Klinieken, Zwolle, The Netherlands. rsmdethmers@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm / surgery,  ultrasonography
Humans
Male
Middle Aged
Peripheral Vascular Diseases / surgery*
Retrospective Studies
Syndrome
Thrombosis / surgery*,  ultrasonography
Ulnar Artery*
Ultrasonography, Doppler, Color
Ultrasonography, Doppler, Duplex
Vascular Patency

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


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