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Hypothenar hammer syndrome and basilic bypass
R K Chander1, J Phair2, P Oza3
1Department of Vascular Surgery, University of Maryland, Baltimore, MD, USA rchander@smail.umaryland.edu.
Vascular
|December 19, 2013
Summary
Hypothenar hammer syndrome, a condition causing ischemic fingers, was successfully treated with ulnar artery bypass. This case highlights diagnostic methods and treatment options for this vascular disorder.
Area of Science:
- Vascular Surgery
- Hand Surgery
- Vascular Medicine
Background:
- Hypothenar hammer syndrome (HHS) is a rare condition involving repetitive trauma to the hypothenar eminence, leading to vascular compromise.
- Etiology often involves occupational or recreational activities causing repeated stress on the ulnar artery.
Observation:
- A patient presented with symptoms indicative of HHS, including ischemic changes in the fingers.
- Diagnostic workup involved imaging and clinical assessment to confirm the diagnosis and evaluate vascular involvement.
Findings:
- The case details the diagnostic process for hypothenar hammer syndrome.
- Treatment strategies were reviewed, leading to surgical intervention.
Implications:
- Ulnar artery bypass using autogenous basilica vein proved effective in resolving digital ischemia caused by HHS.
- This case underscores the importance of timely diagnosis and appropriate surgical management for HHS.
- Successful treatment can restore hand function and prevent long-term complications.
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