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Hypothenar Hammer Syndrome in a Computer Programmer: CTA Diagnosis and Surgical and Endovascular Treatment

Department of Radiology, El Minya University, El Minya, Egypt, Department of Radiology, University of Virginia Health System, Charlottesville

Hugo Bonatti, MD

Department of Surgery University of Virginia Health System, Charlottesville

Ahmed M. Housseini, MD

Department of Radiology, University of Virginia Health System, Charlottesville, Department of Radiology, Suez Canal University, Ismailia, Egypt

Ismaeel M. Maged, MD

Department of Radiology, University of Virginia Health System, Charlottesville

Raymond F. Morgan, MD

Department of Surgery, University of Virginia Health System, Charlottesville

Klaus D. Hagspiel, MD

Department of Radiology, University of Virginia Health System, Charlottesville, kdh2n{at}virginia.edu

Finger ischemia due to embolic occlusion of digital arteries resulting from trauma to the palmar ulnar artery has been termed hypothenar hammer syndrome (HHS). In HHS, arterial thrombosis and/or aneurysm formation with embolization to the digital arteries causes symptoms of ischemia. We describe a patient in whom the initial diagnosis was made on multidetector computed tomographic angiography (CTA), as well as his endovascular and surgical management.

Key Words: hypothenar hammer syndrome • CT angiography • fibrinolysis • ulnar artery

This version was published on October 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 5, 509-512 (2009)
DOI: 10.1177/1538574409334346


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