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Hypothenar hammer syndrome in an office worker
Author(s) -
Zhang Fan,
Weerakkody Yuranga,
Tosenovsky Patrik
Publication year - 2017
Publication title -
journal of medical imaging and radiation oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.31
H-Index - 43
eISSN - 1754-9485
pISSN - 1754-9477
DOI - 10.1111/1754-9485.12651
Subject(s) - medicine , ulnar artery , hammer , surgery , blunt , conservative management , radiology , artery , radial artery , structural engineering , engineering
Summary Hypothenar hammer syndrome ( HHS ) is an uncommon cause of unilateral Raynaud's phenomenon, splinter haemorrhages and hypothenar weakness. The typical patient is a male blue‐collar worker who uses their hypothenar eminence to hammer objects as part of their work. The distal ulnar artery beyond Guyon's canal is superficial and vulnerable to blunt trauma. CTA and MRA are common initial investigations and can suggest the diagnosis. DSA is the gold standard imaging modality and offers therapeutic opportunities. Management is controversial, but unless there is critical digital ischaemia, conservative treatment is first line.