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Hammer digit syndrome

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https://www.readbyqxmd.com/read/27595964/recurrent-hypothenar-hammer-syndrome-a-case-report
#1
Nicholas S Adams, Ronald D Ford
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...
October 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27092287/combined-thenar-and-hypothenar-hammer-syndromes-and-raynaud-s-phenomenon-successfully-treated-with-iloprost
#2
Alessandro Ciapetti, Marina Carotti, Marco Di Carlo, Fausto Salaffi
Thenar and hypothenar hammer syndromes are uncommon conditions characterised by digital ischemia of the hand as a result of repetitive trauma at level of the thenar and/or hypothenar eminence and damage to the radial and/or ulnar arteries, respectively. The symptoms are related to the mechanism of the trauma and a Raynaud's phenomenon can be predominant for a long time. The angiography is the "gold standard" imaging technique which allows to confirm the diagnosis. Therapeutic strategy depends on the type of the lesion and severity of symptoms and includes pharmacological (antithrombotic and thrombolytic drugs) and surgical treatments...
2016: Case Reports in Rheumatology
https://www.readbyqxmd.com/read/26470947/vascular-hand-arm-vibration-syndrome-magnetic-resonance-angiography
#3
C J M Poole, T J Cleveland
The diagnosis of vascular hand-arm vibration syndrome (HAVS) requires consistent symptoms, photographic evidence of digital blanching and sufficient exposure to hand-transmitted vibration (HTV; A(8) > 2.5 m/s2). There is no reliable quantitative investigation for distinguishing HAVS from other causes of Raynaud's phenomenon and from normal individuals. Hypothenar and thenar hammer syndromes produce similar symptoms to HAVS but are difficult to diagnose clinically and may be confused with HAVS. Magnetic resonance angiography (MRA) is a safe and minimally invasive method of visualizing blood vessels...
January 2016: Occupational Medicine
https://www.readbyqxmd.com/read/25741914/hypothenar-hammer-syndrome-a-case-series-and-literature-review
#4
REVIEW
Mehmet Şükrü Şahin, Tuna Özyürekoğlu, Gökhan Çakmak
OBJECTIVES: This study aims to report our experience regarding patients who were surgically treated due to hypothenar hammer syndrome and review the related literature. PATIENTS AND METHODS: The study included 11 hands of eight patients (5 males, 3 females; mean age 48 years; range 29 to 60 years) who underwent surgery due to hypothenar hammer syndrome between September 2004 and March 2013. Mean follow-up period was 50 months (range 3-103 months). The time of symptom onset, occupational history, and detailed physical examination findings were recorded...
2015: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/25455356/current-options-for-treatment-of-hypothenar-hammer-syndrome
#5
REVIEW
Helen G Hui-Chou, Michael A McClinton
Hypothenar hammer syndrome is a rare vascular condition resulting from injury to the ulnar artery at the level of Guyon canal. The ulnar artery at the wrist is the most common site of arterial aneurysms of the upper extremity and is particularly prone to injury. Signs and symptoms include a palpable mass, distal digital embolization to long, ring, or small fingers, pain, cyanosis, pallor, coolness, and recurrent episodes of vasospasm. Modalities for diagnosis, evaluation, and surgical planning include duplex study, contrast arteriography, and computerized tomographic angiography (CTA)...
February 2015: Hand Clinics
https://www.readbyqxmd.com/read/25426368/perfusion-assessment-with-the-spy-system-after-arterial-venous-reversal-for-upper-extremity-ischemia
#6
Darrell Brooks
BACKGROUND: The timing and pattern of reperfusion following arterial- venous reversal (AVR) in patients with terminal ischemia of an upper extremity is not well understood. METHODS: The current case series describes the timing and pattern of reperfusion observed in patients with terminal upper extremity ischemia who underwent AVR and repeated postoperative indocyanine green (ICG) angiography between 2004 and 2009. For all included patients, the SPY Near-Infrared Perfusion Assessment System permitted visualization of ICG-labeled blood flow for 60-second sampling periods at scheduled postoperative time points; outflow and rate and amplitude of inflow were objectively quantified with SPY-Q Analysis Toolkit image analysis software...
July 2014: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/24720999/-hypothenar-hammer-syndrome-case-report-and-review-of-the-literature
#7
REVIEW
B Malgras, A Mlynski, C Pierret, S Fossat, X de Kérangal
INTRODUCTION: Hypothenar hammer syndrome is a rare cause of upper extremity digital ischemia or Raynaud phenomenon, a diagnosis which should be considered in cases of iterative palmar trauma. Its treatment can be medical or surgical and should not suffer any delay. The best options remain controversial. METHODS: A 65-year-old patient presented with an ischemia of the last three fingers of the left hand. A partially thrombosed aneurysm of the left ulnar artery was diagnosed at imaging...
May 2014: Journal des Maladies Vasculaires
https://www.readbyqxmd.com/read/24072373/single-longitudinal-dorsal-incision-approach-to-transfer-the-flexor-digitorum-longus-tendon-between-the-flexor-digitorum-brevis-hemitendons-a-cadaveric-study
#8
Ricardo Becerro de Bengoa Vallejo, Marta Elena Losa Iglesias, Miguel Fuentes Rodriguez, Fermín Viejo Tirado
Transposition of the flexor digitorum longus tendon has been widely reported for the correction of flexible claw and hammertoe deformities. The most common technique uses two cutaneous incisions, one plantar and another dorsal. We performed a cadaveric study to determine whether the flexor digitorum longus tendon could be transferred to the dorsum of the proximal phalanx of the toe from its lateral or medial aspect through a unique single longitudinal central dorsal incision. The rationale for this novel approach was to minimize the risk of vascular compromise to the digit associated with the two-incision approach...
September 2013: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/24026289/digital-arthrodesis-with-a-one-piece-memory-nitinol-intramedullary-fixation-device-a-retrospective-review
#9
Jaytinder S Sandhu, William T DeCarbo, Mark H Hofbauer
UNLABELLED: A 1-piece memory Nitinol intramedullary fixation device (Smart Toe; Stryker Corporation, Kalamazoo, MI) was used for proximal interphalangeal joint arthrodesis for correction of painful hammertoes in digits 2, 3, and 4. Sixty-five implants were placed in 35 patients. The mean age of our patients was 62.2 years (range = 27-82; standard deviation = 12.5). Mean follow-up time was 27 months (range = 12-40 months; standard deviation = 7). Overall, a 93.8% fusion rate was noted...
October 2013: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/23988538/hypothenar-hammer-syndrome-from-ice-hockey-stick-handling
#10
Mohamed A Zayed, Joey McDonald, Jacques G Tittley
Ulnar artery thrombosis and hypothenar hammer syndrome are rare vascular complications that could potentially occur with repeated blows or trauma to the hand. Although initially reported as an occupational hazard among laborers and craftsmen, it has been observed more recently among recreationalists and athletes. Until now, it has never been reported as a complication in ice hockey players. In this case report, a 26-year-old Canadian professional ice hockey player presented with acute dominant right hand paleness, coolness, and pain with hand use...
November 2013: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/23887165/surgical-pathology-of-hypothenar-hammer-syndrome-with-new-pathogenetic-insights-a-25-year-institutional-experience-with-clinical-and-pathologic-review-of-67-cases
#11
Brandon T Larsen, William D Edwards, Mark H Jensen, Craig H Johnson, Robert D McBane, William S Harmsen, Joseph J Maleszewski
Hypothenar hammer syndrome (HHS) is characterized by digital ischemia after repetitive traumatic injury to the ulnar artery. Some hypothesize that susceptible patients have an intrinsic vasculopathy such as fibromuscular dysplasia (FMD). To investigate this hypothesis, we reviewed our institutional experience with this syndrome over 25 years. Clinical records were reviewed from all patients who underwent surgical treatment for HHS (1987 to 2011), and histologic features of excised ulnar arteries were characterized...
November 2013: American Journal of Surgical Pathology
https://www.readbyqxmd.com/read/23827486/digital-arthrodesis
#12
REVIEW
Charles M Zelen, Nathan J Young
For lesser toe deformities, fusion of the proximal interphalangeal joint offers good long-term correction and predictability. Digital arthrodesis has been described for longer than 100 years in the literature, and current techniques closely resemble those described in early accounts. However, many implants currently being used take advantage of the latest metallurgic and polymeric innovations, with implants being composed of nitinol, polylactic or polyglycolic acids, and polydioxanone. Newer implants offer easy insertion and good stability, with no percutaneous wires...
July 2013: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/23770189/smart-toe%C3%A2-implant-versus-buried-kirschner-wire-for-proximal-interphalangeal-joint-arthrodesis-a-comparative-study
#13
COMPARATIVE STUDY
Alex Scholl, James McCarty, Desiree Scholl, Alice Mar
The surgical correction of hammer digits offers a variety of surgical treatments ranging from arthroplasty to arthrodesis, with many options for fixation. In the present study, we compared 2 buried implants for arthrodesis of lesser digit deformities: a Smart Toe® implant and a buried Kirschner wire. Both implants were placed in a prepared interphalangeal joint, did not violate other digital or metatarsal joints, and were not exposed percutaneously. A retrospective comparative study was performed of 117 digits with either a Smart Toe® implant or a buried Kirschner wire, performed from January 1, 2007 to December 31, 2010...
September 2013: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/23674131/the-protoe-intramedullary-hammertoe-device-an-alternative-to-kirschner-wires
#14
Ryan T Scott, Christopher F Hyer, Gregory C Berlet
Hammertoe digital deformity correction is a very controversial topic among foot and ankle surgeons. Hammertoes are characterized by an extension deformity at the metatarsophalangeal joint (MTPJ) and flexion deformity at the proximal interphalangeal joint (PIPJ). Current treatment options are often guided by the patient's discomfort as well as the reducibility of the affected digit. Kirschner wires (K-wires) have long been considered the gold standard for hammertoe digital repair. Although K-wires are simplistic to use as fixation, they carry inherit risks such as pin tract infections, migration, and breakage...
June 2013: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/23673417/hammertoe-surgery-and-the-trim-it-drill-pin
#15
Luke D Cicchinelli
UNLABELLED: Digital deformities are some of the most frequent complaints of patients seeking a surgical solution after the failure of conservative care. A thorough assessment of the actual level of deformity is important to ensure a lasting surgical correction. This article details the options for correcting hammertoe, clawtoe and mallet toe deformities with Trim it Drill pin and the Spin pin. LEVELS OF EVIDENCE: Level 5.
August 2013: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/23588077/hypothenar-hammer-syndrome-case-report-and-review
#16
REVIEW
Patrick M Carter, Patrick A Hollinshead, Jeffrey S Desmond
BACKGROUND: Hypothenar hammer syndrome is a rare vascular overuse syndrome characterized by post-traumatic vascular insufficiency of the hand from repetitive compression over the hypothenar eminence. Patients with occupations predisposing to repetitive use of the hypothenar eminence as a tool are at high risk. Repetitive trauma compresses a superficial segment of the ulnar artery against the hook of hamate as it exits Guyon's canal, damaging the intimal layer of the artery and causing vasospasm, platelet aggregation, and thrombus formation, leading to pain and paresthesias that eventually progress to claudication and ischemia...
July 2013: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/23511314/using-a-bone-allograft-to-fixate-proximal-interphalangeal-joint-arthrodesis
#17
COMPARATIVE STUDY
Stephen J Kominsky, Roberto Bermudez, Alvin Bannerjee
UNLABELLED: Digital contractures are a very common deformity of the foot and ankle that require surgical correction. It has been shown that arthrodesis provides a better long-term result than arthroplasty of the interphalangeal joints. Arthroplasties usually require K-wire fixation that presents potential complications, such as pin tract infection. This study presents a new cadaveric bone matrix allograft to be used as rigid internal fixation for proximal interphalangeal joint arthrodesis...
April 2013: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/22884907/smarttoe%C3%A2-implant-compared-with-kirschner-wire-fixation-for-hammer-digit-corrective-surgery-a-review-of-28-patients
#18
COMPARATIVE STUDY
Arush K Angirasa, Michael J Barrett, Darren Silvester
For many years, end-to-end arthrodesis of a proximal interphalangeal joint arthrodesis to correct hammer digit deformity has been fixated with a Kirschner wire (K-wire). For this particular hammer digit deformity correction, we attempted to determine the effectiveness of the SmartToe(®) intramedullary shape memory implant compared with the K-wire. In a retrospective analysis of 28 cases, we evaluated several important parameters at baseline, postoperative days 7, 14, 21, 28, and 56, and 6 months for pain, complications, arthrodesis achieved, and return-to-work status...
November 2012: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/22632839/treatment-of-hammertoe-deformity-using-a-one-piece-intramedullary-device-a-case-series
#19
Bryan L Witt, Christopher F Hyer
Hammertoes are common deformities that are often surgically treated using arthrodesis or arthroplasty of the proximal interphalangeal joint with percutaneous, temporary Kirschner wire fixation. However, percutaneous Kirschner wire fixation is associated with potential complications, including wire migration, breakage, and pin tract infection. Furthermore, the complications of pseudoarthrosis and nonunion are seen using this technique owing to a lack of rotational control of the Kirschner wire. Another drawback of this implant is the need for wire removal and the associated patient anxiety with this in-office procedure...
July 2012: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/22580683/intra-arterial-autologous-bone-marrow-cell-transplantation-in-a-patient-with-upper-extremity-critical-limb-ischemia
#20
Juraj Madaric, Andrej Klepanec, Martin Mistrik, Cestmir Altaner, Ivan Vulev
Induction of therapeutic angiogenesis by autologous bone marrow mononuclear cell transplantation has been identified as a potential new option in patients with advanced lower-limb ischemia. There is little evidence of the benefit of intra-arterial cell application in upper-limb critical ischemia. We describe a patient with upper-extremity critical limb ischemia with digital gangrene resulting from hypothenar hammer syndrome successfully treated by intra-arterial autologous bone marrow mononuclear cell transplantation...
April 2013: Cardiovascular and Interventional Radiology
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