Tags

Type your tag names separated by a space and hit enter

[The hypothenar hammer syndrome].
Unfallchirurg. 2002 Sep; 105(9):833-6.U

Abstract

The hypothenar hammer syndrome (HHS) is a rare form of secondary Raynaud's phenomenon in workers who frequently use the ulnar side of the palm as a hammer. Clinically the patient with HHS shows neurologic symptoms such as paresthesia, numbness and pain and signs of vascular insufficiency such as coldness, pallor, discoloration and blanching of the affected ulnar sided fingers. The diagnosis is verified by angiography, showing thrombosis or aneurysm of the distal ulnar artery. We report on the treatment and outcome of 5 patients with HHS. All patients were painfree after treatment. But with the ongoing working habit of using the hand as a hammer there is always the risk of a recurrence. Therefore the job environment has to be changed considerably and the most effort should go into prevention and prophylaxis. If the change of the working habit is not possible, the job is clearly at stake.

Authors+Show Affiliations

Heitmann C
Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Germany. Heitmann@duke.edu
Pelzer M
No affiliation info available
Tränkle M
No affiliation info available
Sauerbier M
No affiliation info available
Germann G
No affiliation info available

MeSH

Accidents, OccupationalAdultAneurysmAngiographyCumulative Trauma DisordersDiagnosis, DifferentialHandHand InjuriesHumansIschemiaMaleMiddle AgedRaynaud DiseaseRecurrenceSyndromeThrombosisUlnar Artery

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

12232742

Citation

Heitmann, C, et al. "[The Hypothenar Hammer Syndrome]." Der Unfallchirurg, vol. 105, no. 9, 2002, pp. 833-6.
Heitmann C, Pelzer M, Tränkle M, et al. [The hypothenar hammer syndrome]. Unfallchirurg. 2002;105(9):833-6.
Heitmann, C., Pelzer, M., Tränkle, M., Sauerbier, M., & Germann, G. (2002). [The hypothenar hammer syndrome]. Der Unfallchirurg, 105(9), 833-6.
Heitmann C, et al. [The Hypothenar Hammer Syndrome]. Unfallchirurg. 2002;105(9):833-6. PubMed PMID: 12232742.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The hypothenar hammer syndrome]. AU - Heitmann,C, AU - Pelzer,M, AU - Tränkle,M, AU - Sauerbier,M, AU - Germann,G, PY - 2002/9/17/pubmed PY - 2003/2/20/medline PY - 2002/9/17/entrez SP - 833 EP - 6 JF - Der Unfallchirurg JO - Unfallchirurg VL - 105 IS - 9 N2 - The hypothenar hammer syndrome (HHS) is a rare form of secondary Raynaud's phenomenon in workers who frequently use the ulnar side of the palm as a hammer. Clinically the patient with HHS shows neurologic symptoms such as paresthesia, numbness and pain and signs of vascular insufficiency such as coldness, pallor, discoloration and blanching of the affected ulnar sided fingers. The diagnosis is verified by angiography, showing thrombosis or aneurysm of the distal ulnar artery. We report on the treatment and outcome of 5 patients with HHS. All patients were painfree after treatment. But with the ongoing working habit of using the hand as a hammer there is always the risk of a recurrence. Therefore the job environment has to be changed considerably and the most effort should go into prevention and prophylaxis. If the change of the working habit is not possible, the job is clearly at stake. SN - 0177-5537 UR - https://www.unboundmedicine.com/medline/citation/12232742/[The_hypothenar_hammer_syndrome]_ DB - PRIME DP - Unbound Medicine ER -