Document Detail

Venous pumps of the hand. Their clinical importance.
MedLine Citation:
PMID:  9230940     Owner:  NLM     Status:  MEDLINE    
Oedema remains one of the most common causes of hand stiffness. Local venous return is intimately associated with oedema formation and management. To elucidate the underlying mechanisms of venous return, the venous pumping systems in the hand were objectively and quantitatively investigated using Doppler ultrasound, cadaveric dissection and venography. It was demonstrated that functionally there are three independent venous systems: the superficial palmar, deep palmar and dorsal veins, which are activated by palm compression, isometric intrinsic muscle contraction, and dorsum compression, respectively. Each system was investigated independently and found to increase venous blood velocity in both the cephalic and ulnar veins. These systems were also shown to act in synergy, producing the greatest velocity increase when concurrently activated during fist-clenching. The volume of blood pumped during fist-clenching could also be potentiated by preloading by digit abduction. The clinical applications of these findings are discussed.
P Simons; P Coleridge Smith; W R Lees; D A McGrouther
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  21     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-08-18     Completed Date:  1997-08-18     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:  595-9     Citation Subset:  IM    
Rayne Institute, Division of Plastic and Reconstructive Surgery, University College Medical School, London, UK.
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MeSH Terms
Blood Flow Velocity
Hand / blood supply*
Ultrasonography, Doppler, Duplex
Veins / physiology*,  ultrasonography

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