Posttraumatic Vascular Anomalies in Hand Surgery-A Case-based Approach

Area of Science:

• Vascular Surgery
• Hand Surgery
• Dermatology

Background:

• Vascular anomalies (VA) classification has evolved, with the ISSVA system providing a structured approach.
• Hand surgeons often have limited experience with vascular anomalies.
• Pyogenic granuloma (PG) is a well-documented VA across disciplines, but arteriovenous fistula (AVF), venous aneurysms (VAN), and venous malformations (VM) are rare in hand surgery.

Purpose of the Study:

• To increase awareness of vascular anomalies in general hand surgery practice.
• To present illustrative cases of post-traumatic vascular anomalies.
• To discuss diagnostic and therapeutic strategies for VAs in the hand.

Main Methods:

• Case series compilation of four patients with post-traumatic vascular anomalies.
• Review of current literature on vascular anomalies in hand surgery.
• Discussion of diagnostic imaging and treatment options.

Main Results:

• Four cases of post-traumatic vascular anomalies (AVF, VAN, VM, PG) encountered in hand surgery are presented.
• Pyogenic granuloma (PG) is the most common VA, while AVF, VAN, and VM are rare.
• The cases illustrate the potential for daily exposure to VAs in hand surgery.

Conclusions:

• Hand surgeons should be aware of the potential presence of various vascular anomalies.
• Prompt diagnosis and appropriate management are crucial for optimal outcomes in post-traumatic VAs.
• Further education on VAs is recommended for hand surgery professionals.