Mertens R, Kramer A, Valdés F
Departamento de Enfermedades Cardiovasculares, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago de Chile.
Rev Med Chil. 1995 Mar;123(3):345-9.
Hypothenar hammer syndrome is an infrequently diagnosed labor disease. We report a 51 years old male who used the medial aspect of his left hand as a hammer over the past 12 years. He presented with an ipsilateral ring finger embolization. An angiogram demonstrated an ulnar artery occlusion at the hypothenar eminence. No other source of emboli was found and treatment was conservative. This disease is a consequence of repetitive trauma on the ulnar artery, that leads to vessel wall changes and promotes local thrombosis, distal embolization and eventually, occlusion in situ. Treatment options are conservative in case of occlusion or reconstruction with exclusion of the emboligeneous area.
小鱼际锤状指综合征是一种较少被诊断出的职业病。我们报告一名51岁男性,在过去12年里他一直用左手内侧当作锤子使用。他出现了同侧无名指栓塞。血管造影显示小鱼际隆起处尺动脉闭塞。未发现其他栓子来源,治疗采取保守治疗。这种疾病是尺动脉反复创伤的结果,会导致血管壁改变,促进局部血栓形成、远端栓塞,并最终导致原位闭塞。对于闭塞情况,治疗选择是保守治疗,或者对栓塞区域进行重建并排除该区域。