| Ulnar artery thrombosis and nerve entrapment at Guyon's canal: our diagnostic and therapeutic algorithm. | |
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MedLine Citation:
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PMID: 20952749 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hypothenar hammer syndrome is a rare condition of ulnar artery aneurysm or thrombosis, which can be associated with a neuropathy of the ulnar nerve. There is no agreement regarding an optimal diagnosis and treatment for this syndrome. Most authors suggest angiography as the gold standard for diagnosis and recommend observation for the thrombotic type, and reconstructive surgery for the aneurysmal type. We report here our diagnostic and therapeutic algorithm, reviewing 9 patients with ulnar artery thrombosis and nerve entrapment at Guyon's canal; and an evaluation of the type of management including: anamnesis, diagnostic tests, and reconstructive surgery. We consider resection of the arterial thrombotic segment as the treatment of choice, due to the fact that ulnar arterial thrombosis can induce severe chronic inflammation into Guyon's canal and ulnar nerve sufferance. Therefore, we propose a planned approach, including 3 steps: clinical evaluation with Tinel and Allen's tests; magnetic resonance and ultrasound images; ulnar nerve decompression and arterial reconstruction. We believe that this practice is important for the early therapy of ulnar arterio-neuropathy in affected patients. |
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Authors:
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G Monacelli; M I Rizzo; A M Spagnoli; C Monarca; N Scuderi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: In vivo (Athens, Greece) Volume: 24 ISSN: 1791-7549 ISO Abbreviation: In Vivo Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-10-18 Completed Date: 2011-01-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8806809 Medline TA: In Vivo Country: Greece |
Other Details:
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Languages: eng Pagination: 779-82 Citation Subset: IM |
Affiliation:
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Plastic Surgery of Emergency and Hand Surgery, Sapienza University of Rome, Rome, Italy. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Algorithms* Carpal Bones / pathology, surgery Humans Magnetic Resonance Angiography Magnetic Resonance Imaging Male Reconstructive Surgical Procedures Thrombosis* / pathology, surgery, ultrasonography Ulnar Artery / ultrasonography* Ulnar Nerve Compression Syndromes / pathology*, surgery* |
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