Schröttle Angelika, Czihal Michael, Lottspeich Christian, Kuhlencordt Peter, Nowak Dennis, Hoffmann Ulrich
1 Division of Vascular Medicine, Medical Clinic and Policlinic IV, Ludwig-Maximilian-University Hospital, München, Germany.
Vasa. 2015 May;44(3):179-85. doi: 10.1024/0301-1526/a000427.
The diagnosis of hypothenar hammer syndrome (HHS) should be considered in the case of hand ischemia in people who occupationally or recreationally use the hypothenar region literally as a hammer. Routine diagnostics should consist of physical examination including Allens test, acral plethysmography and duplex sonography. According to the prevailing opinion angiography remains the «gold standard test» for establishing the diagnosis of HHS. Early diagnosis allows more effective therapeutic strategies and is important to prevent long-term negative medical sequelae. Several basic principles apply to all patients, for example hand protection and smoking cessation. The optimal treatment options, particularly the indication for surgery, remain controversial due to a lack of sound data from case series or prospective randomized trials.
对于那些在职业或娱乐活动中实际将小鱼际区域当作“锤子”使用的人，若出现手部缺血情况，应考虑诊断为小鱼际锤状指综合征（HHS）。常规诊断应包括体格检查，其中包括艾伦试验、肢体体积描记法和双功超声检查。根据普遍观点，血管造影术仍是确立HHS诊断的“金标准检查”。早期诊断可采用更有效的治疗策略，对于预防长期不良医学后果很重要。有几条基本原则适用于所有患者，例如手部保护和戒烟。由于缺乏来自病例系列或前瞻性随机试验的可靠数据，最佳治疗方案，尤其是手术指征，仍存在争议。
