Related Experiment Video
Updated: Nov 17, 2025

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
Vascular Changes of the Hand of a Collegiate Softball Catcher: A Case Report
Sarah Schippers1, Haley Simmons, Ericka Lawler
1Department of Orthopedics & Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Case:
A Division I collegiate softball catcher presented with discoloration, coolness, and swelling of her left index finger that worsened with sport participation. Upper extremity arteriogram revealed absent flow to the radial aspect of the finger and compromise of the ulnar digital artery distal to the proximal interphalangeal joint. After failing nonoperative management, she underwent periarterial sympathectomy with relief of symptoms.
Conclusion:
Repetitive trauma to a catcher's hand can result in vascular compromise. When nonoperative measures fail, surgical intervention may be successful. We describe successful treatment using sympathectomy. Surgeons should be able to diagnose this condition and understand treatment options.
Related Concept Videos
Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Cardiovascular System Abnormal Findings I: Inspection and Palpation
Abnormal findings observed during an inspection
Assessment of the Cardiovascular System II: Inspection
Head and Neck
Arteries of the Upper Limbs
Veins of Upper Limbs
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
Bones of the Upper Limb: Ulna
