- See:
-
Burns of the Hand;
-
Thrombolytic Therapy:
- Ischemia of the Hand:
- History:
- infection, cold intolerance, pain, tenderness, of mass, cyanosis...
- Diff dx:
- Aneurysms of the Upper Extremity:
-
AV malformations:
- Compression in the neck (see
throacic outlet syndrome)
-
Emboli to Upper Extremity Vessels:
-
Glomus Tumor
- Primary vasospastic condition;
-
Pyogenic granuloma (cure by cautery)
- Trauma
-
Hemangioma:
-
Raynaud's Phenomenon and Disease:
-
Venous Malformations:
- Effort Thrombosis of Axillary Vein:
- Thromboangiitis obliterans
- small-vessel involvement in both the arms and the legs;
-
Scleroderma
- CREST syndrome (calcinosis cutis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia)
- Repetitive trauma (vibratory-tool use or hypothenar hammer syndrome)
-
Hypothenar Hand Syndrome
- Diagnostic Studies:
- EKG
- CBC,
ANA, Sed Rate,
RF, HbS,
- Cold Stress Test
- ABI
- Plethysmography;
- Cardiac Echo (to rule out cardiac vegitations);
Distinguishing Soft-Tissue Hemangiomas From Vascular Malformations Using Technetium-Labeled Red Blood Cell Scintigraphy.
Reversal of digital vasospasm by glyceryl trinitrate patch.
Vascular abnormalities of the extremities: clinical findings and management.
Limited Microsurgical Arteriolysis for Complications of Digital Vasospasm.
Tham S, and Grossman JA
J. Hand Surg. 22-B: 3: 359-361. 1997.
Hemangiomas, vascular malformations, and lymphovenous malformations: classification and methods of treatment.
Major vascular malformations of the upper extremity: long-term observation.
The microcirculatory effects of peripheral sympathectomy. Koman LA, Smith BP, Pollock FE, Smith TL, Pollock D, Russell GB. J Hand Surg 1995;20A:709-717.
Arterial reconstruction in the ischemic hand and wrist: effects on micro-vascular physiology and health-related quality of life. J Hand Surg 1998;23A:773-782.
Koman LA, Ruch DS, Aldridge M, et al.
The microcirculatory effects of peripheral Sympathectomy. J Hand Surg 1995;20A:709-717. Koman LA, Smith BP, Pollock FE, et al.
Anatomic and physiologic evaluation of upper extremity ischemia. Microsurgery 1999;19:181-188. Ruch DS, Smith TL, Smith BP, Holden M, Russell G, Koman LA.
Acquired localized subcutaneous cavernous vascular malformations of the hand.
