Document Detail


Vascular insufficiency in Okihiro's syndrome secondary to hypothenar hammer syndrome.
MedLine Citation:
PMID:  3584888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The presence of Okihiro's syndrome (congenital thenar hypoplasia and Duane's anomaly) in a patient became clinically significant when a hypothenar hammer syndrome developed. The ulnar artery occlusion resulted in a compromise of the hand's vascular supply because of a congenital hypoplastic radial artery. Resection of the thrombosed ulnar artery and insertion of an interposition vein graft restored circulation to the hand. Anatomic features in this case include a hypoplastic radial artery and double motor branch of the median nerve. Clinicians should consider Okihiro's syndrome in the differential diagnosis of thenar muscle atrophy since there are genetic, diagnostic, and clinical implications.
Authors:
P S Barre; M W Keith; M Sobel; F A Rashad; R W Shields
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  12     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1987 May 
Date Detail:
Created Date:  1987-07-06     Completed Date:  1987-07-06     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  401-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnosis, Differential
Duane Retraction Syndrome / complications*
Hand / blood supply
Hand Deformities, Congenital*
Humans
Male
Median Nerve / abnormalities
Muscular Atrophy / etiology
Ophthalmoplegia / complications*
Thrombosis / etiology
Vascular Diseases / etiology*

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


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