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[Thenar hammer syndrome].

B Hohendorff1, T Treumann, U von Wartburg

  • 1Abteilung für Hand- und Plastische Chirurgie, Kantonsspital Luzern, Schweiz. bernd.hohendorff@hotmail.com

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|September 9, 2008
PubMed
Summary
This summary is machine-generated.

This case study documents a rare true aneurysm of the superficial radial artery branch, likely caused by chronic occupational trauma. Microsurgical repair was successful, highlighting thenar hammer syndrome in manual laborers.

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Area of Science:

  • Vascular Surgery
  • Occupational Medicine
  • Radiology

Background:

  • Chronic traumatic aneurysms of the distal radial artery are exceptionally rare, with limited documented cases.
  • Previous literature reports only 20 instances of chronic traumatic vascular lesions specifically affecting the thenar region.

Observation:

  • A 58-year-old cheese maker with a history of manual labor presented with thenar eminence swelling, pain, and altered sensation in the index finger.
  • Diagnostic imaging, including duplex ultrasound and CT angiography, identified an aneurysm of the superficial radial artery branch, consistent with thenar hammer syndrome.

Findings:

  • This report details the first well-documented case of a true aneurysm originating from the superficial branch of the radial artery.
  • The patient underwent successful microsurgical end-to-end repair following aneurysm resection.

Implications:

  • This case underscores the importance of considering thenar hammer syndrome in manual laborers presenting with distal upper extremity vascular symptoms.
  • The study provides a comprehensive review of existing literature on chronic vascular lesions in the thenar region, correlating occupation, symptoms, diagnosis, and treatment outcomes.