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DOI: 10.1055/s-0044-1786818
Aneurysm of the Ulnar Artery and Hypothenar Hammer Syndrome
Article in several languages: español | English
Abstract
Hypothenar hammer syndrome is an uncommon vascular condition that causes aneurysmal degeneration of the ulnar artery as it passes through the Guyon canal. It usually appears in workers exposed to repeated microtrauma to the hypothenar eminence; therefore, some authors consider it an occupational disease. The symptoms vary according to the size of the aneurysm and the instability of its contents. Diagnosis requires an adequate clinical history and a high index of suspicion. Its treatment ranges from conservative medical management to reconstructive surgery, depending on the patency and vascular integrity of the palmar arch. Herein, we present a clinical case of a 67-year-old man with a painful pulsatile tumor in the hypothenar eminence after carrying out renovation work. Magnetic resonance angiography confirmed the clinical suspicion, leading to aneurysm resection with subsequent arterial reconstruction.
Publication History
Received: 15 January 2022
Accepted: 03 May 2023
Article published online:
07 June 2024
© 2024. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referencias
- 1 Clagett GP. Upper extremity aneurysms. Rutherford RB. Vascular surgery. 6 ed.. Philadelphia: Elsevier Saunders; 2005
- 2 Conn Jr J, Bergan JJ, Bell JL. Hypothenar hammer syndrome: posttraumatic digital ischemia. Surgery 1970; 68 (06) 1122-1128
- 3 Taj S, Malamis AP, Lomasney LM, Demos TC, Bednar MS. Radiologic case study. Hypothenar hammer syndrome. Orthopedics 2010; 33 (05) 286
- 4 Marie I, Hervé F, Primard E, Cailleux N, Levesque H. Long-term follow-up of hypothenar hammer syndrome: a series of 47 patients. Medicine (Baltimore) 2007; 86 (06) 334-343
- 5 Ablett CT, Hackett LA. Hypothenar hammer syndrome: case reports and brief review. Clin Med Res 2008; 6 (01) 3-8
- 6 Carter PM, Hollinshead PA, Desmond JS. Hypothenar hammer syndrome: case report and review. J Emerg Med 2013; 45 (01) 22-25
- 7 Rodriguez Morata A, Cuenca Manteca J, Ros Die E. Hypothenar Hammer Syndrome associated with hipoplasia of radial artery: clinical case and review of the literature. EJVES 2004; 7: 43-45
- 8 Winterer JT, Ghanem N, Roth M. et al. Diagnosis of the hypothenar hammer syndrome by high-resolution contrast-enhanced MR angiography. Eur Radiol 2002; 12 (10) 2457-2462
- 9 Villalba-Munera V, Vásquez-Medina C. Síndrome del martillo hipotenar con aneurisma de la arteria cubital. Angiologia 2009; 61 (05) 265-269
- 10 Lifchez SD, Higgins JP. Long-term results of surgical treatment for hypothenar hammer syndrome. Plast Reconstr Surg 2009; 124 (01) 210-216