Aleksic Marko, Heckenkamp Jörg, Gawenda Michael, Brunkwall Jan
Division of Vascular Surgery, Department of Visceral and Vascular Surgery, University of Cologne, Germany.
Angiology. 2006 Jan-Feb;57(1):107-14. doi: 10.1177/000331970605700116.
Hypothenar hammer (HH) syndrome and vibration-induced white finger (VWF) syndrome are the main occupation-related vascular diseases of the upper extremity. The clinical presentation is similar to that of Raynaud's phenomenon. The characteristic history will lead to the appropriate diagnosis being confirmed by angiographic features in HH and by functional tests in VWF. While in HH the underlying cause, which is mostly thought to be an aneurysm of the ulnar artery, might be cured surgically, in VWF only medical treatment offers relief from the symptoms. The knowledge of these entities is necessary to suspect such disorders so that further exposure to risk factors like repetitive hypothenar trauma or work with vibrating hand-held tools can be avoided, which is of great importance for the overall prognosis of these patients.
小鱼际锤状指（HH）综合征和振动性白指（VWF）综合征是上肢主要的职业相关血管疾病。其临床表现与雷诺现象相似。典型病史将有助于通过HH的血管造影特征和VWF的功能测试来确诊。虽然HH的潜在病因大多被认为是尺动脉动脉瘤，可通过手术治愈，但VWF只能通过药物治疗缓解症状。了解这些疾病对于怀疑此类病症很有必要，这样可以避免进一步接触重复性小鱼际创伤或使用振动手持工具等危险因素，这对这些患者的总体预后非常重要。
