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Wheeless' Textbook of Orthopaedics
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Ulnar Artery: Hypothenar Hand Syndrome



- See:
      - Vascular Problems of the Wrist and Hand:

- Discussion:
    - traumatic thrombosis of   superficial palmar arch of ulnar artery resulting from repetitive use of hand as hammer;
    - in this maneuver, maximum force of the blow occurs over hook hamate bone, stie of superifical palmar arch of ulnar artery;
    - ulnar artery appears to be most vulnerable in distal portion of Guyon's canal, where protective
            capabilities of palmaris brevis muscle are least effective;
    - most common presenting symptom w/ ulnar arterry thrombosis is pain;
    - pts also suffer from cold intolerence (pain w/ exposure to cold) and pain associated with repetitive activity;
    - pain at night and w/ rest;
    - frequently have dependent rubor, ulceration of fingertips, or gangrene;




  Ulnar artery thrombosis: a sports-related injury [published erratum appears in Am J Sports Med 1986 Sep-Oct;14(5):387

  Ulnar Artery Thromboisis.

  Scientific Papers: Surgical Treatment of Distal Ulnar Artery Aneurysm.
 
  Arterial abnormalities of the hand in athletes.

  Ulnar artery palmar to palmaris brevis - cadaveric study and 3 case reports

  Ulnar artery insufficiency: A guide to treatment.
        LA Koman and JR Urbaniak.   J. Hand Surg. Vol 6-A. 1981. p 16-24.

  Vascular Changes of the Hand in Professional Baseball Players with Emphasis on Digital Ischemia in Catchers.












Original Text by Clifford R. Wheeless, III, MD.