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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2024; 52(01): e72-e76
DOI: 10.1055/s-0044-1786818
Relato de Caso | Case Report

Aneurysm of the Ulnar Artery and Hypothenar Hammer Syndrome

Artikel in mehreren Sprachen: español | English
Beatriz García Nieto 
1   Servicio de Angiología y Cirugía Vascular, Hospital Universitario Miguel Servet, Zaragoza, España
,
Young Woon Ki Yoo
2   Servicio de Angiología y Cirugía Vascular, Hospital Universitari Son Espases, Palma de Mallorca, España
,
Laura Escolano González
1   Servicio de Angiología y Cirugía Vascular, Hospital Universitario Miguel Servet, Zaragoza, España
,
Laura Pastor Alconchel
1   Servicio de Angiología y Cirugía Vascular, Hospital Universitario Miguel Servet, Zaragoza, España
,
María Concepción Bernardos Alcalde
1   Servicio de Angiología y Cirugía Vascular, Hospital Universitario Miguel Servet, Zaragoza, España
,
Ana Cristina Marzo Álvarez
1   Servicio de Angiología y Cirugía Vascular, Hospital Universitario Miguel Servet, Zaragoza, España
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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.

Keywords

artery - ulnar - hypothenar - hammer


Publikationsverlauf

Eingereicht: 15. Januar 2022

Angenommen: 03. Mai 2023

Artikel online veröffentlicht:
07. Juni 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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