Hypothenar hammer syndrome

Case contributed by Dr Paul Leschke

Presentation

Cyanosis left hand. Occupation - tradesman.

Patient Data

Age: 40 years
Gender: Male
DSA (angiography)

Occlusion of distal left ulnar artery. Further filling defects in the 2nd and 3rd common palmar digital arteries and lateral proper digital arteries of the ring and middle fingers. Probable filling defect in deep palmar arch.

Case Discussion

Hypothenar hammer syndrome is caused by repetitive trauma to the ulnar artery against the hook of hamate. This is typically seen in men in their 40s whose occupation or recreation involves chronic repetitive trauma to the heel of the hand (e.g. carpenter, bricklayer, baker, as well as some sports). There may be aneurysm formation, occlusion or distal embolisation. Patients may present with pain, claudication, paraesthesia or blanching.

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Case information

rID: 53120
Case created: 2nd May 2017
Last edited: 6th May 2017
System: Vascular
Inclusion in quiz mode: Included

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