The Corkscrew Sign in Hypothenar Hammer Syndrome

1993 ◽  
Vol 18 (6) ◽  
pp. 767-769 ◽  
Author(s):  
D. C. HAMMOND ◽  
H. S. MATLOUB ◽  
N. J. YOUSIF ◽  
J. R. SANGER
Keyword(s):  
Ulnar Artery ◽  
Arterial Injury ◽  
Guyon’S Canal ◽  
Arterial Segment ◽  
Cold Intolerance ◽  
Hypothenar Hammer Syndrome ◽  
Right Hand ◽  
Unrelated Condition ◽  
Guyon's Canal ◽  
The Right

Arteriography of an adult manual labourer presenting with numbness and cold intolerance in the middle and ring fingers of the right hand demonstrated filling defects in the digital arteries of these two fingers associated with a corkscrew-like configuration of the ulnar artery in Guyon’s canal. This arterial segment was subsequently excised revealing intramural necrosis and fibrosis and non-occlusive intraluminal thrombosis. An arteriogram performed 2 years previously for an unrelated condition revealed a similar but less pronounced corkscrew configuration of the artery, suggesting that this finding could be a marker for arterial injury which may eventually lead to embolization or thrombosis with accompanying ischaemic symptoms.

scholarly journals A Rare Case of Hypothenar Hammer Syndrome Triggering Guyon’s Canal Syndrome

2021 ◽  
Author(s):  
Guruprasad Rai ◽  
Ganesh Sevagur Kamath ◽  
Vaishnavi Kavirayani ◽  
Arvind Kumar Bishnoi ◽  
Revanth Reddy
Keyword(s):  
Soft Tissues ◽  
Adult Population ◽  
Arterial Occlusion ◽  
Clinical Importance ◽  
Ulnar Artery ◽  
Guyon’S Canal ◽  
Hypothenar Hammer Syndrome ◽  
Digital Ischemia ◽  
Guyon's Canal ◽  
Canal Syndrome

In certain occupations, injuries and microtrauma are commonly encountered by the soft tissues of the hand in the adult population, which may, however, less frequently lead to arterial occlusion. One such example is that of the Hypothenar Hammer Syndrome (HHS). It is a rare traumatic disease of the hand, caused by blunt traumas to the heel of the hand that may damage the ulnar artery at the level of hypothenar eminence. This results in occlusion or aneurysm of the vessel. It is of clinical importance due to the risk of loss of limb function following digital ischemia. The ulnar nerve barely gets compressed in the Guyon’s canal, which may in turn cause Guyon’s canal syndrome. This is a case of a 43-year-old male patient who presented with painful swelling of the right hand, which was diagnosed as a bizarre presentation of a bilobed and partially thrombosed pseudoaneurysm of the ulnar artery producing Guyon’s canal syndrome that had to be surgically excised. The objective of this case is to highlight the clinical presentation of HHS for early diagnosis and treatment.

ISOLATED ABDUCTOR DIGITI MINIMI PALSY — AN UNUSUAL CASE OF GUYON'S CANAL COMPRESSION

Hand Surgery ◽  
2013 ◽  
Vol 18 (02) ◽  
pp. 251-253 ◽  
Author(s):  
Kannan Kumar ◽  
Sunil Thirkannad
Keyword(s):  
Differential Diagnosis ◽  
Unusual Case ◽  
Ulnar Artery ◽  
Ulnar Neuropathy ◽  
Guyon’S Canal ◽  
Motor Branch ◽  
Surgical Exploration ◽  
Abductor Digiti Minimi ◽  
Guyon's Canal ◽  
Anomalous Branch

We present a case of isolated Abductor Digiti Minimi (ADM) palsy caused by an anomalous branch from the ulnar artery. Electrophysiology suggested selective involvement of the motor branch to the ADM in the Guyon's canal. Surgical exploration revealed an anomalous branch of the ulnar artery causing a pincer effect on the nerve to the ADM. Division and ligation of this branch effectively decompressed the nerve and the patient recovered satisfactorily. This report highlights the need to consider vascular aberrations as a differential diagnosis for ulnar neuropathy in Guyon's canal.

Hypothenar Hammer Syndrome

1999 ◽  
Vol 24 (6) ◽  
pp. 731-734 ◽  
Author(s):  
D. DE MONACO ◽  
E. FRITSCHE ◽  
G. RIGONI ◽  
S. SCHLUNKE ◽  
U. VON WARTBURG
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Ulnar Artery ◽  
Dominant Hand ◽  
Middle Aged ◽  
Arterial Segment ◽  
Hypothenar Hammer Syndrome ◽  
Direct Anastomosis ◽  
Repetitive Trauma

The hypothenar hammer syndrome is an uncommon lesion of the ulnar artery caused by repetitive trauma to the ulnar portion of the hand. It characteristically occurs in the dominant hand of middle-aged craftsmen, but also in athletes practising various types of sports. We present a retrospective study of nine patients between 1988 and 1999. The follow-up ranged from 1 to 10 years. We recommend surgical treatment, by resection of the involved arterial segment and revascularization either by direct anastomosis or by means of a venous interpositional graft.

Ulnar Artery Thrombosis in Guyon's Canal

2015 ◽  
Vol 20 (2) ◽  
pp. 55 ◽  
Author(s):  
Ki-Won Lee ◽  
Hyun-Il Lee ◽  
Chung-Hwan Kim ◽  
Sang-Jun Shim ◽  
Hyung-Kwon Cho ◽  
...  
Keyword(s):  
Ulnar Artery ◽  
Guyon’S Canal ◽  
Artery Thrombosis ◽  
Guyon's Canal

scholarly journals Delayed ulnar nerve palsy secondary to ulnar artery pseudoaneurysm distal to Guyon’s canal following penetrating trauma to the hand

2013 ◽  
Vol 95 (5) ◽  
pp. e1-e2 ◽  
Author(s):  
PF Dobson ◽  
B Purushothaman ◽  
Y Michla ◽  
S England ◽  
MK Krishnan ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Penetrating Trauma ◽  
Ulnar Artery ◽  
Anatomical Location ◽  
Guyon’S Canal ◽  
Artery Pseudoaneurysm ◽  
Ulnar Nerve Palsy ◽  
Operative Planning ◽  
Guyon's Canal

Compression of the ulnar nerve in Guyon’s canal is an uncommon phenomenon. Reports of ulnar nerve palsy secondary to ulnar artery pseudoaneurysm at this anatomical location are very rare and equivalent pathology just distal to this site is unheard of. Here we present such a case, which featured a delayed onset of symptoms. This followed penetrating trauma to the hand. Our methods for diagnosis, operative planning and surgical treatment are included.

Variations of the ulnar nerve and ulnar artery in Guyon's Canal: A cadaveric study

1994 ◽  
Vol 19 (4) ◽  
pp. 617-622 ◽  
Author(s):  
Pien S.A. König ◽  
J. Joris Hage ◽  
Joannes J.A.M. Bloem ◽  
Lucien Poliacu Prosé
Keyword(s):  
Ulnar Nerve ◽  
Ulnar Artery ◽  
Cadaveric Study ◽  
Guyon’S Canal ◽  
Guyon's Canal

scholarly journals Síndrome do canal de Guyon por aneurisma da artéria ulnar: relato de caso

2020 ◽  
Vol 9 (6) ◽  
pp. 648-650
Author(s):  
Luis Guilherme Rosifini Alves Rezende ◽  
Letícia de Freitas Leonel ◽  
Filipe Jun Shimaoka ◽  
Gunter Shin Iti Takamori Shimabukuro ◽  
Luiz Garcia Mandarano-Filho ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Surgical Management ◽  
Artery Aneurysm ◽  
Ulnar Artery ◽  
Nerve Compression ◽  
Guyon’S Canal ◽  
True Aneurysm ◽  
Ulnar Nerve Compression ◽  
Guyon's Canal ◽  
Canal Syndrome

Dentre os fatores que podem desencadear a compressão do canal de Guyon inclui-se o aneurisma da artéria ulnar. Uma das abordagens cirúrgicas é a reconstrução microcirúrgica através da ressecção e arteriorrafia término-terminal ou enxerto venoso de interposição. O objetivo deste trabalho é relatar o caso de paciente que desenvolveu neuropatia do nervo ulnar secundária à presença de aneurisma da artéria ulnar no canal de Guyon. Foi realizada a descompressão cirúrgica através de uma abertura do canal e a ressecção do segmento lesionado. A artéria ulnar foi reconstruída através da anastomose término-terminal microcirúrgica. O resultado foi o alívio completo dos sintomas no pós-operatório com manutenção do fluxo vascular. Descritores: Nervo Ulnar; Neuropatia Radial; Ferimentos e Lesões; Aneurisma. Referências Guyon F. Note sur une disposition anatomique proper à la face antérieure de la région du poignet et non encour décrite. Bulletins de la Societé anatomique de Paris, Second Series, 1861;6:184-86. Caetano EB, Brandi S, Oliveira Junior WM. Compressão do nervo ulnar no canal de Guyon por aneurisma verdadeiro: relato de um caso. Rev Bras Ortop. 2004;39(7):398-400. Shea JD, McClain EJ. Ulnar-nerve compression syndromes at and below the wrist. J Bone Joint Surg Am. 1969;51(6):1095-103.  Rothkopf DM, Bryan DJ, Cuadros CL, May JW Jr. Surgical management of ulnar artery aneurysms. J Hand Surg Am. 1990;15(6):891-97.  Harris EJ Jr, Taylor LM Jr, Edwards JM, Mills JL, Porter JM. Surgical treatment of distal ulnar artery aneurysm. Am J Surg. 1990;159(5):527-30. Dethmers RS, Houpt P. Surgical management of hypothenar and thenar hammer syndromes: a retrospective study of 31 instances in 28 patients. J Hand Surg Br. 2005;30(4):419-23.  Aguiar PH, Bor-Seng-Shu E, Gomes-Pinto F, Almeida- Leme RJ, Freitas ABR, Martins RS et al. Surgical management of Guyon's canal syndrome, an ulnar nerve entrapment at the wrist: report of two cases. Arq Neuro-Psiquiatr. 2001;59(1):106-11. Jose RM, Bragg T, Srivastava S. Ulnar nerve compression in Guyon's canal in the presence of a tortuous ulnar artery. J Hand Surg Br. 2006;31(2):200-2.  Galati G, Cosenza UM, Sammartino F, Benvenuto E, Caporale A. True aneurysm of the ulnar artery in a soccer goalkeeper: a case report and surgical considerations. Am J Sports Med. 2003;31(3):457-58. Rothkopf DM, Bryan DJ, Cuadros CL, May JW Jr. Surgical management of ulnar artery aneurysms. J Hand Surg Am. 1990;15(6):891-97.

scholarly journals An unusual presentation of low ulnar nerve palsy: a case report

2021 ◽  
Vol 7 (2) ◽  
pp. 416
Author(s):  
Eknoor Kaur ◽  
Narender Saini
Keyword(s):  
Ulnar Nerve ◽  
Ulnar Artery ◽  
Sudden Onset ◽  
Invasive Technique ◽  
Guyon’S Canal ◽  
Ulnar Nerve Compression ◽  
Non Union ◽  
Anomalous Muscle ◽  
Ulnar Nerve Palsy ◽  
Guyon's Canal

<p>Ulnar nerve compression at the Guyon’s canal is an uncommon cause of ulnar nerve neuropathy. Among various reasons like trauma, non-union of hook of hamate, anomalous muscle anatomy, thrombosis of the ulnar artery or pseudoaneurysm, ganglion is a common lesion which can compress the ulnar nerve at this site. With proper history taking and physical examination consisting of assessing motor functions and sensation of the hand, a clinician can localize the site of the lesion. Ultrasound is cheap and non-invasive technique which helps to localize the site of lesion and can suggest the nature of the lesion. Surgical decompression of the canal and careful removal of the lesion can help ameliorate the symptoms. In our study the patient presented with sudden onset weakness of the right hand and symptoms progressing within one and half month. With proper muscle charting, sensory examination and with the help of sonography, the main culprit was localized to Guyon’s canal. Excision of the lesion helped in recovery of hand function within 5 months.</p>

Sign in / Sign up

Export Citation Format

Share Document