Document Detail

Ulnar artery aneurysms after injury mimicking acute infection in the hand.
MedLine Citation:
PMID:  3267645     Owner:  NLM     Status:  MEDLINE    
Two cases of ulnar artery aneurysm, with concomitant ulnar nerve compression in the palm are presented. Both followed acute injury and presented with an increasingly painful, warm swelling within 2 weeks of injury. An initial diagnosis of infection was made by experienced clinicians in each case. Ulnar artery aneurysm may be wrongly diagnosed as acute infection. It is suggested that simple excision of the aneurysm and ligation of the ulnar artery is the treatment of choice. Angiography should be reserved for those cases where there is doubt about the diagnosis or adequacy of the collateral circulation. Ulnar nerve deficit may be a result of direct injury rather than a neuropraxia from compression by the aneurysm.
P R Kay; J S Abraham; D R Davies; H Bertfield
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Injury     Volume:  19     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  1988 Nov 
Date Detail:
Created Date:  1989-11-22     Completed Date:  1989-11-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  402-4     Citation Subset:  IM    
Orthopaedic Department, Park Hospital, Manchester.
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MeSH Terms
Acute Disease
Aneurysm / diagnosis*
Arteries / injuries
Bacterial Infections / diagnosis*
Diagnosis, Differential
Hand / blood supply*
Hand Injuries / complications*

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