Ciapetti Alessandro, Carotti Marina, Di Carlo Marco, Salaffi Fausto
Rheumatology Department, Betsi Cadwaladr University Health Board, Glan Clwyd Hospital, Bodelwyddan, Denbighshire, Wales LL18 5UJ, UK.
Radiology Department, Polytechnic University of the Marche, 60020 Ancona, Italy.
Case Rep Rheumatol. 2016;2016:4824929. doi: 10.1155/2016/4824929. Epub 2016 Mar 22.
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. The authors present a case of a 53-year-old man, carpenter by profession, with combined thenar and hypothenar hammer syndromes and Raynaud's phenomenon, successfully treated with a short course of intravenous infusion of iloprost.
大鱼际和小鱼际锤状指综合征是罕见病症，其特征是由于大鱼际和/或小鱼际隆起处反复创伤，分别导致手部指端缺血以及桡动脉和/或尺动脉损伤。症状与创伤机制有关，雷诺现象可能长期占主导。血管造影是“金标准”成像技术，可用于确诊。治疗策略取决于病变类型和症状严重程度，包括药物治疗（抗血栓和溶栓药物）及手术治疗。作者报告了一例53岁男性病例，职业为木匠，患有合并的大鱼际和小鱼际锤状指综合征及雷诺现象，通过短期静脉输注伊洛前列素成功治愈。
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