Wheatley M J, Swift R
Department of Surgery, Oregon Health Sciences University, Portland Veterans Administration Medical Center 97201-3098, USA.
Ann Plast Surg. 1997 Jul;39(1):94-6. doi: 10.1097/00000637-199707000-00017.
Acute hand ischemia is a medical emergency requiring immediate treatment. We report a case of acute hand ischemia due to a crush injury of the wrist. Management with urokinase was successful in reestablishing flow to the ulnar artery and the digital vessels. In the setting of acute trauma with extensive thrombosis of the vessels of the hand, thrombolytic therapy may offer a better treatment option than surgical exploration with bypass grafting.
