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[White small finger in a 45 year old teacher]
R K Clemens1, M Husmann, B R Amann-Vesti
1Klinik für Angiologie, Universitätsspital Zürich, Zürich.
Praxis
|February 4, 2011
Summary
A 45-year-old teacher experienced digital ischemia due to hypothenar hammer syndrome. Repetitive hand trauma from work, using an espresso machine, and drumming caused this condition.
Area of Science:
- Hand surgery
- Occupational medicine
- Vascular surgery
Background:
- Hypothenar hammer syndrome (HHS) is a rare condition affecting the ulnar artery.
- It is often caused by repetitive trauma to the hypothenar eminence.
- Digital ischemia can be a presenting symptom.
Observation:
- A 45-year-old teacher presented with digital ischemia of the small finger.
- Non-invasive diagnostics identified hypothenar hammer syndrome.
- The condition was linked to occupational and recreational activities.
Findings:
- Repetitive mechanical working, use of an espresso machine, and playing drums were identified as causative factors.
- The diagnosis was confirmed through non-invasive vascular assessments.
- Etiology and diagnostic methods for HHS were explored.
Implications:
- Early diagnosis and identification of causative factors are crucial for managing HHS.
- Avoiding repetitive trauma can prevent disease progression.
- This case highlights the importance of considering occupational and lifestyle factors in vascular diagnoses.
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