Recurrent Hypothenar Hammer Syndrome: A Case Report

2016 ◽  
Vol 21 (03) ◽  
pp. 414-416
Author(s):  
Nicholas S. Adams ◽  
Ronald D. Ford
Keyword(s):  
Case Report ◽  
Vein Graft ◽  
Ulnar Artery ◽  
Cold Intolerance ◽  
Hypothenar Hammer Syndrome ◽  
Digital Ischemia ◽  
Repetitive Trauma

Hypothenar hammer syndrome (HHS) is a rare cause of digital ischemia and pain caused from repetitive trauma to the palm. Often related to occupational practices, thrombosis and embolization can occur. Treatment is often surgical and involves excision with or without reconstruction. We describe a 55 year-old, male pipe fitter previously diagnosed and treated for HHS with excision and repair using a reversed interpositional vein graft in the mid-1980’s. He continued to work in the profession, which he regularly used his palm as a hammer and returned approximately 30 years later with recurrent symptoms of cold intolerance and pain. Angiography confirmed occlusion of the ulnar artery with emboli present distally. The patient was again treated with excision and reconstruction. HHS is an uncommon cause of digital ischemia. Its recurrence is even more rare. To our knowledge, this is the first described case of diagnosed and treated recurrent HHS.

ANEURYSM OF THE SUPERFICIAL PALMAR ARCH: A CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (03) ◽  
pp. 179-182 ◽  
Author(s):  
Emmanuel P. Estrella ◽  
Ellen Y. Lee
Keyword(s):  
Case Report ◽  
Vein Graft ◽  
Ulnar Artery ◽  
Young Female ◽  
Superficial Palmar Arch ◽  
Palmar Arch ◽  
Cold Intolerance ◽  
Common Location ◽  
History Of ◽  
Arch Aneurysm

Aneurysms of the hand are uncommon lesions. The most common location is the ulnar artery. We present a case of a young female who consulted us for a hand mass with a history of trauma to the hand. Pre-operative arteriogram showed a superficial palmar arch aneurysm. The mass was excised and the arch was reconstructed using a reversed Y-shaped vein graft. Fourteen months after surgery, there was no recurrence of the aneurysm and the patient only reported occasional cold intolerance.

scholarly journals Hypothenar Hammer Syndrome Requiring Vein Graft to the Ulnar Artery: A Case Report

2006 ◽  
Vol 55 (2) ◽  
pp. 222-225 ◽  
Author(s):  
Yukie Iwata ◽  
Wataru Oshiro ◽  
Kenshi Horikiri ◽  
Hideki Asato ◽  
Chojo Futenma ◽  
...  
Keyword(s):  
Case Report ◽  
Vein Graft ◽  
Ulnar Artery ◽  
Hypothenar Hammer Syndrome

scholarly journals Occupational True Aneurysm of the Ulnar Artery: A Case Report of Hypothenar Hammer Syndrome

2013 ◽  
Vol 6 (3) ◽  
pp. 655-657 ◽  
Author(s):  
Susumu Isoda ◽  
Tamizo Kimura ◽  
Kenji Nishimura ◽  
Nozomu Yamanaka ◽  
Shingo Nakamura ◽  
...  
Keyword(s):  
Case Report ◽  
Ulnar Artery ◽  
True Aneurysm ◽  
Hypothenar Hammer Syndrome

Hypothenar Hammer Syndrome

1999 ◽  
Vol 24 (6) ◽  
pp. 731-734 ◽  
Author(s):  
D. DE MONACO ◽  
E. FRITSCHE ◽  
G. RIGONI ◽  
S. SCHLUNKE ◽  
U. VON WARTBURG
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Ulnar Artery ◽  
Dominant Hand ◽  
Middle Aged ◽  
Arterial Segment ◽  
Hypothenar Hammer Syndrome ◽  
Direct Anastomosis ◽  
Repetitive Trauma

The hypothenar hammer syndrome is an uncommon lesion of the ulnar artery caused by repetitive trauma to the ulnar portion of the hand. It characteristically occurs in the dominant hand of middle-aged craftsmen, but also in athletes practising various types of sports. We present a retrospective study of nine patients between 1988 and 1999. The follow-up ranged from 1 to 10 years. We recommend surgical treatment, by resection of the involved arterial segment and revascularization either by direct anastomosis or by means of a venous interpositional graft.

scholarly journals Therapeutic Management of Hypothenar Hammer Syndrome Causing Ulnar Nerve Entrapment

2010 ◽  
Vol 2010 ◽  
pp. 1-5
Author(s):  
Emanuele Cigna ◽  
Anna Maria Spagnoli ◽  
Mauro Tarallo ◽  
Liliana De Santo ◽  
Giampaolo Monacelli ◽  
...  
Keyword(s):  
Vascular Disease ◽  
Chronic Inflammation ◽  
Ulnar Nerve ◽  
Ulnar Artery ◽  
Nerve Entrapment ◽  
Nerve Compression ◽  
Arterial Flow ◽  
Ulnar Nerve Compression ◽  
Hypothenar Hammer Syndrome ◽  
Repetitive Trauma

Introduction. The hypothenar hammer syndrome is a rare traumatic vascular disease of the hand. Method and Materials. We report the case of a 43-years-old man with a painful tumefaction of the left hypothenar region. The ulnar artery appeared thrombosed clinically and radiologically. The patient underwent surgery to resolve the ulnar nerve compression and revascularise the artery. Results. The symptoms disappeared immediately after surgery. The arterial flow was reestablished. Postoperatively on day 20, a new thrombosis of the ulnar artery occurred. Conclusion. Hypothenar hammer syndrome is caused by repetitive trauma to the heel of the hand. The alterations of the vessel due to its chronic inflammation caused an acute compression of the ulnar nerve at the Guyon's canal and, in our case, do not allow a permanent revascularisation of the ulnar artery.

Hypothenar Hammer Syndrome: Apropos of Six Cases and Review of the Literature

Vascular ◽  
2008 ◽  
Vol 16 (5) ◽  
pp. 279-282 ◽  
Author(s):  
Samy Nitecki ◽  
Yoram Anekstein ◽  
Tony Karram ◽  
Amir Peer ◽  
Arie Bass
Keyword(s):  
Literature Review ◽  
Upper Extremity ◽  
Reconstructive Surgery ◽  
Rare Condition ◽  
Ulnar Artery ◽  
Arterial Injury ◽  
Review Of The Literature ◽  
Hypothenar Hammer Syndrome ◽  
Common Causes ◽  
Repetitive Trauma

Hypothenar hammer syndrome (HHS) is a rather rare condition and is a term used to describe an aneurysm or thrombosis of the ulnar artery. It is considered an occupational or recreational injury and is usually a result of a repetitive trauma to the hypothenar region where the unique anatomy of the Guyon canal allows arterial injury. HHS is one of the less common causes of symptomatic ischemia of the upper extremity. The aim of this article is to describe our experience with six patients. Presenting signs, symptoms, differential diagnoses, and literature review of this probably underdiagnosed syndrome are described. There are two pathologic entities: the aneurysmal type and the thrombotic type. Although most authors recommend watchful observation for the thrombotic type, reconstructive surgery is the treatment of choice for the aneurysmal type.

The Corkscrew Sign in Hypothenar Hammer Syndrome

1993 ◽  
Vol 18 (6) ◽  
pp. 767-769 ◽  
Author(s):  
D. C. HAMMOND ◽  
H. S. MATLOUB ◽  
N. J. YOUSIF ◽  
J. R. SANGER
Keyword(s):  
Ulnar Artery ◽  
Arterial Injury ◽  
Guyon’S Canal ◽  
Arterial Segment ◽  
Cold Intolerance ◽  
Hypothenar Hammer Syndrome ◽  
Right Hand ◽  
Unrelated Condition ◽  
Guyon's Canal ◽  
The Right

Arteriography of an adult manual labourer presenting with numbness and cold intolerance in the middle and ring fingers of the right hand demonstrated filling defects in the digital arteries of these two fingers associated with a corkscrew-like configuration of the ulnar artery in Guyon’s canal. This arterial segment was subsequently excised revealing intramural necrosis and fibrosis and non-occlusive intraluminal thrombosis. An arteriogram performed 2 years previously for an unrelated condition revealed a similar but less pronounced corkscrew configuration of the artery, suggesting that this finding could be a marker for arterial injury which may eventually lead to embolization or thrombosis with accompanying ischaemic symptoms.

scholarly journals Ulnar Artery Aneurysm in a 6-Month-Old: A Case Report

Hand ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. NP118-NP120
Author(s):  
Clifton G. Meals ◽  
George B. Carey ◽  
James P. Higgins ◽  
Benjamin Chang
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Case Reports ◽  
Artery Aneurysm ◽  
Ulnar Artery ◽  
Resonance Imaging ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Repetitive Trauma

Background: Pediatric ulnar aneurysms are rare and, unlike their adult counterparts, cannot be explained by repetitive trauma to the palm. A small number of case reports describe diagnostic difficulty with these lesions and different treatments. Methods: We present the case of a 6-month-old with an ulnar artery aneurysm of unknown cause. The diagnosis was supported with magnetic resonance imaging, and the lesion was resected. Results: Because the hand remained well perfused, the ulnar artery was not reconstructed. Conclusions: Although the early result was good, the long-term outcome of this approach is unknown.

scholarly journals A Rare Case of Hypothenar Hammer Syndrome Triggering Guyon’s Canal Syndrome

2021 ◽  
Author(s):  
Guruprasad Rai ◽  
Ganesh Sevagur Kamath ◽  
Vaishnavi Kavirayani ◽  
Arvind Kumar Bishnoi ◽  
Revanth Reddy
Keyword(s):  
Soft Tissues ◽  
Adult Population ◽  
Arterial Occlusion ◽  
Clinical Importance ◽  
Ulnar Artery ◽  
Guyon’S Canal ◽  
Hypothenar Hammer Syndrome ◽  
Digital Ischemia ◽  
Guyon's Canal ◽  
Canal Syndrome

In certain occupations, injuries and microtrauma are commonly encountered by the soft tissues of the hand in the adult population, which may, however, less frequently lead to arterial occlusion. One such example is that of the Hypothenar Hammer Syndrome (HHS). It is a rare traumatic disease of the hand, caused by blunt traumas to the heel of the hand that may damage the ulnar artery at the level of hypothenar eminence. This results in occlusion or aneurysm of the vessel. It is of clinical importance due to the risk of loss of limb function following digital ischemia. The ulnar nerve barely gets compressed in the Guyon’s canal, which may in turn cause Guyon’s canal syndrome. This is a case of a 43-year-old male patient who presented with painful swelling of the right hand, which was diagnosed as a bizarre presentation of a bilobed and partially thrombosed pseudoaneurysm of the ulnar artery producing Guyon’s canal syndrome that had to be surgically excised. The objective of this case is to highlight the clinical presentation of HHS for early diagnosis and treatment.

Hypothenar hammer syndrome and repair of ulnar artery aneurysm in a patient without history of trauma

2021 ◽  
Vol 14 (5) ◽  
pp. e240729
Author(s):  
Justin Hart ◽  
Raymond Hajjar ◽  
Eugene Laveroni
Keyword(s):  
Tobacco Use ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Treatment Options ◽  
Artery Aneurysm ◽  
Ulnar Artery ◽  
Hypothenar Hammer Syndrome ◽  
Uncommon Presentation ◽  
History Of

The patient is a 50-year-old male with a history of tobacco use presented for evaluation of pulsatile right-hand mass. The patient was employed as a barber but had no known history of trauma or injury. He was diagnosed with hypothenar hammer syndrome and underwent excision of ulnar artery aneurysm with reconstruction of ulnar artery with interposition saphenous vein graft. The presented case describes an uncommon presentation of hypothenar hammer syndrome in a patient without history of repetitive blunt trauma or injury and discusses the diagnosis, pathophysiology and treatment options for symptomatic ulnar artery aneurysm.

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