Ulnar Hammer Syndrome

Vartija, Larisa Kristine; Cheung, Kevin; Kaur, Manraj; Coroneos, Christopher J.; Thoma, Achilleas

doi:10.1097/prs.0b013e3182a3bfcb

Cited by 12 publications

(1 citation statement)

References 33 publications

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“…Arterial aneurysms of the hand are uncommon but well-described phenomenon in the adult population, usually in the setting of chronic, repetitive blunt trauma to the ulnar artery (hypothenar hammer syndrome) [ 1 , 2 ]. Nontraumatic causes of aneurysms in adults are associated with atherosclerosis, infection, and other less common causes [3] .…”

Section: Introductionmentioning

confidence: 99%

Congenital aneurysm of the palmar digital artery: A case report and literature review

Dean

Fleming

Zvavanjanja

et al. 2019

Radiology Case Reports

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Spontaneous arterial aneurysms of the hand are uncommon but are well-described in the adult population. In the pediatric population, however, congenital or true aneurysms of the hand are exceptionally rare. A case report and a literature review were performed for published cases of arterial aneurysms of the hand in the pediatric population. A 13-month-old child presented with an aneurysm of the common digital artery and underwent surgical excision without need for reconstruction. Literature review found 13 documented cases. Patient characteristics and management strategies were summarized. There are very few documented cases of hand arterial aneurysms in the pediatric population, with our patient being the third youngest ever reported. No cases were associated with hereditary disease, and aneurysm excision was performed in all cases. Our report highlights the need to include arterial aneurysm in a differential diagnosis when evaluating a pediatric patient with a palpable hand mass.

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Section: Introductionmentioning

confidence: 99%

Congenital aneurysm of the palmar digital artery: A case report and literature review

Dean

Fleming

Zvavanjanja

et al. 2019

Radiology Case Reports

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Radial artery aneurysm secondary to dynamic entrapment by extensor pollicis longus tendon: a case of snapping thumb

2018

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Aneurysms of the distal radial artery at the level of the wrist are rare. Most reported cases are posttraumatic, either from iatrogenic arterial puncture for radial arterial access or from a penetrating injury. Other causes include infection and connective tissue disorders. Early diagnosis is important to avoid the potential complications of thrombus formation, distal digital ischemia, and rupture. Evaluation of the radial artery is typically performed using non-invasive modalities like ultrasonography, computed tomographic angiography (CTA), and magnetic resonance angiography (MRA). Invasive angiography can also be performed, particularly if minimally invasive treatment options are being considered. We report a case of a 35-year-old male mechanic who presented with pain at the base of the left thumb dorsally, with reproducible painful snapping on dynamic exam. Ultrasound demonstrated a fusiform aneurysm of the radial artery. At the level of the aneurysm, there was dynamic entrapment of the artery between the extensor pollicis longus (EPL) tendon and the underlying trapezium. The patient's symptoms improved with conservative management and avoidance of the snapping-producing maneuvers. To our knowledge, this is the first published case of snapping at the base of the thumb resulting in repetitive entrapment of the radial artery by the EPL tendon captured on dynamic ultrasound examination.

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