Hypothenar Hammer Syndrome

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Topic updated on 10/05/09 7:23pm
Introduction
  • A post-traumatic occlusive vascular disease
    • cause is thrombosis of ulnar artery at Guyon's canal.
  • Results from repetitive impact on hypothenar eminence
    • occurs in
      • carpenters
      • baseball catchers
  • Can lead to embolization (usually ring finger)
Evaluaition
  • Anteriogram
  • Doppler evaluation can be diagnostic
Treatment
  • Nonoperative
    • symptomatic treatment
  • Operative
    • resection of thrombosis segment
    • local sympathectomy

 


 

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