Pagliari Micaela, Menna Carlo Raimondo, Christodoulidis Avraam, Soldà Michele, Molinari Marco
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Acta Biomed. 2018 Dec 20;90(1-S):158-161. doi: 10.23750/abm.v90i1-S.8016.
Hypothenar Hammer Syndrome is a relatively rare disease process caused by repetitive stress or injury to the hypothenar eminence leading to chronic injury to the ulnar artery. Our study reports an unusual case.
A 57 years old Plumber presented in April 2016 with a history of constant pain and recurrent paresthesia involving the fingers of the right hand for several months, over the previous 1 year, his hand had become more intolerant of exposure to cold temperatures. Angio-RNM and electromyography were performed and showed a severe double compression of ulnar and median nerve and an ulnar artery deformity without thrombosis. Surgery was performed under sedation and axillary anesthesia.
After surgery patient' symptoms immediately improved, and within a few months, his hand had normalized.
Hypothenar Hammer Syndrome is a rare disease process which manifests in certain occupations and activities that put undue stress on the hypothenar area. Furthermore, the carpal tunnel syndrome, a pressure damage of the median nerve, caused by repetitive manual tasks with flexion and extension of wrist has been added as well as hypothenar hammer syndrome which are vascular damages of hand caused by shock-type application of force.
小鱼际锤状指综合征是一种相对罕见的疾病，由小鱼际隆起处反复受压或损伤导致尺动脉慢性损伤引起。我们的研究报告了一个不寻常的病例。
一名57岁的水管工于2016年4月就诊，有持续数月的右手手指持续疼痛和反复感觉异常病史，在过去1年里，他的手对寒冷温度变得更加不耐受。进行了血管放射性核素显像和肌电图检查，结果显示尺神经和正中神经严重双重受压以及尺动脉畸形但无血栓形成。手术在镇静和腋路麻醉下进行。
术后患者症状立即改善，几个月内，他的手恢复正常。
小鱼际锤状指综合征是一种罕见的疾病，在某些对手小鱼际区域施加过度压力的职业和活动中表现出来。此外，由手腕屈伸的重复性手工任务引起的正中神经压力损伤——腕管综合征，以及由冲击型用力导致的手部血管损伤——小鱼际锤状指综合征也已被提及。
