掌侧小鱼际锤状综合征和尺动脉动脉瘤修复术，患者无外伤史。
Hypothenar hammer syndrome and repair of ulnar artery aneurysm in a patient without history of trauma.
机构信息
Plastic and Reconstructive Surgery, Beaumont Hospital - Farmington Hills, Farmington Hills, Michigan, USA
Plastic and Reconstructive Surgery, Beaumont Hospital - Farmington Hills, Farmington Hills, Michigan, USA.
出版信息
BMJ Case Rep. 2021 May 20;14(5):e240729. doi: 10.1136/bcr-2020-240729.
The patient is a 50-year-old male with a history of tobacco use presented for evaluation of pulsatile right-hand mass. The patient was employed as a barber but had no known history of trauma or injury. He was diagnosed with hypothenar hammer syndrome and underwent excision of ulnar artery aneurysm with reconstruction of ulnar artery with interposition saphenous vein graft. The presented case describes an uncommon presentation of hypothenar hammer syndrome in a patient without history of repetitive blunt trauma or injury and discusses the diagnosis, pathophysiology and treatment options for symptomatic ulnar artery aneurysm.
患者为 50 岁男性，有吸烟史，因右手可触及的搏动性肿块就诊。患者为理发师，无已知外伤或损伤史。患者被诊断为正中神经锤状指综合征，接受了尺动脉动脉瘤切除术，并进行了尺动脉重建术，使用大隐静脉作为移植物。本病例描述了一例无反复钝性创伤或损伤史的正中神经锤状指综合征患者的罕见表现，并讨论了有症状的尺动脉动脉瘤的诊断、病理生理学和治疗选择。
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