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双侧小鱼际锤状指综合征病例报告及文献综述

Bilateral Hypothenar Hammer Syndrome Case Presentation and Literature Review.

作者信息

Estíbaliz Andrés-Trasahedo, Eztizen Labrador-Sánchez, Osman-Alberto Salazar-Asencio, Bryan-Josué Flores-Robles, Valvanera Pinillos-Aransay, Lerena Laura Torrecilla, Juan-Antonio López-Martín

机构信息

Rheumatology Department, San Pedro Hospital, Logroño, La Rioja, Spain.

Neurosurgery Department, Son Espases University Hospital, Islas Baleares, Spain.

出版信息

Case Rep Vasc Med. 2022 Jun 28;2022:2078772. doi: 10.1155/2022/2078772. eCollection 2022.

Abstract

Hypothenar hammer syndrome is a rare cause of vascular insufficiency. Generally, patients report a history of repetitive trauma to the hypothenar region of the hand. Symptoms often consist of cold intolerance, pain, paleness, and paresthesia due to digital ischemia. The severity of these symptoms will depend on the extent of ulnar artery occlusion and the presence or absence of collaterals between this artery's superficial and deep branches. It is a rare clinical entity, which on multiple occasions requires a surgical approach. We present a 63-year-old man with bilateral Raynaud's phenomenon secondary to hypothenar hammer syndrome successfully treated by vascular repair surgery. In patients with Raynaud's phenomenon, it is important to know that there are reversible causes such as hypothenar hammer syndrome.

摘要

小鱼际锤状指综合征是血管功能不全的一种罕见病因。一般来说,患者有手部小鱼际区域反复创伤的病史。症状通常包括因手指缺血导致的不耐寒、疼痛、苍白和感觉异常。这些症状的严重程度将取决于尺动脉闭塞的程度以及该动脉浅支和深支之间侧支循环的有无。它是一种罕见的临床病症,多次需要手术治疗。我们报告一例63岁男性,继发于小鱼际锤状指综合征的双侧雷诺现象经血管修复手术成功治疗。对于患有雷诺现象的患者,重要的是要知道存在诸如小鱼际锤状指综合征等可逆病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b873/9256417/02486e37639a/CRIVAM2022-2078772.001.jpg

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