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.

scholarly journals Patient-reported outcomes after surgical and non-surgical treatment of proximal hamstring avulsions in middle-aged patients

2019 ◽  
Vol 5 (1) ◽  
pp. e000511 ◽  
Author(s):  
Elsa Pihl ◽  
Olof Skoldenberg ◽  
Hans Nasell ◽  
Sven Jonhagen ◽  
Paula Kelly Pettersson ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Algorithm ◽  
Hamstring Injury ◽  
Middle Aged ◽  
Mri Findings ◽  
Aged Patients ◽  
Patient Reported ◽  
Proximal Hamstring ◽  
Non Surgical Treatment

ObjectivesIn the literature on proximal hamstring avulsions, only two studies report the outcomes of non-surgically treated patients. Our objective was to compare subjective recovery after surgical and non-surgical treatment of proximal hamstring avulsions in a middle-aged cohort.MethodsWe included 47 patients (33 surgically and 14 non-surgically treated) with a mean (SD) age of 51 (±9) years in a retrospective cohort study. Follow-up time mean (SD) of 3.9 (±1.4) years. The outcome variables were the Lower Extremity Functional Scale (LEFS) and questions from the Proximal Hamstring Injury Questionnaire. Outcome variables were adjusted in regression models for gender, age, American Society of Anestesiologits (ASA) classification and MRI findings at diagnosis.ResultsThe baseline characteristics showed no differences except for the MRI result, in which the surgically treated group had a larger proportion of tendons retracted ≥ 2 cm. The mean LEFS score was 74 (SD±12) in the surgically treated cohort and 72 (SD±16) in the non-surgically treated cohort. This was also true after adjusting for confounders. The only difference in outcome at follow-up was the total hours performing physical activity per week, p=0.02; surgically treated patients reported 2.5 hours or more (5.2 vs 2.7).ConclusionThis study on middle-aged patients with proximal hamstring avulsions was unable to identify any difference in patient-reported outcome measures between surgically and non-surgically treated patients. The vast majority of patients treated surgically had complete proximal hamstring avulsions with ≥ 2 cm of retraction. We conclude that to obtain an evidence-based treatment algorithm for proximal hamstring avulsions studies of higher scientific level are needed.

Arytenoidopexy for bilateral vocal fold paralysis in young children

1996 ◽  
Vol 110 (11) ◽  
pp. 1027-1030 ◽  
Author(s):  
Jean-Michel Triglia ◽  
Jean-François Belus ◽  
Richard Nicollas
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Young Children ◽  
Vocal Fold ◽  
Good Health ◽  
Vocal Fold Paralysis ◽  
Airway Compromise ◽  
Bilateral Vocal Fold Paralysis ◽  
Life Threatening

AbstractThe purpose of this retrospective study was to describe and evaluate the results of arytenoidopexy performed by the external laterocervical approach in 15 consecutive children presenting bilateral vocal fold paralysis causing life-threatening airway compromise. Mean age at the time of surgery was 20 months and mean follow-up was 42 months. At the end of follow-up all patients were in good health and did not need special care for breathing. No abduction movement has been observed on the opposite vocal fold since arytenoidopexy. One failure subsequently required arytenoidectomy. The findings of this study suggest that arytenoidopexy is an effective surgical treatment for life-threatening bilateral vocal fold paralysis in young children.

Hypothenar hammer syndrome: long-term follow-up after ulnar artery reconstruction with the lateral circumflex femoral artery

2015 ◽  
Vol 42 (5) ◽  
pp. 507-510 ◽  
Author(s):  
A. de Niet ◽  
J. H. Van Uchelen
Keyword(s):  
Femoral Artery ◽  
Patency Rate ◽  
Ulnar Artery ◽  
Arterial Graft ◽  
Hypothenar Hammer Syndrome ◽  
Venous Grafts ◽  
Lateral Circumflex Femoral Artery ◽  
Circumflex Femoral Artery ◽  
Lateral Circumflex Femoral

In symptomatic patients with hypothenar hammer syndrome, the occluded part of the ulnar artery can be reconstructed with an autologous graft. Venous grafts are used frequently, but they are known for their low patency rate. Arterial grafts show better patency rates than venous grafts in coronary bypass surgery. We performed 11 ulnar artery reconstructions with the descending branch of the lateral circumflex femoral artery and compared these with previously performed venous reconstructions. All patients with an arterial graft reconstruction had a patent graft at a mean follow-up of 63 months. In addition, nine out of 11 patients reported improvement in their symptoms. The patency rate of venous reconstructions in hypothenar hammer syndrome is significantly lower. Arterial grafting for hypothenar hammer syndrome has superior patency compared with venous grafting; we recommend it as the surgical treatment of choice for symptomatic hypothenar hammer syndrome. Level of evidence: 4.

scholarly journals Therapeutic Management of Hypothenar Hammer Syndrome Causing Ulnar Nerve Entrapment

2010 ◽  
Vol 2010 ◽  
pp. 1-5
Author(s):  
Emanuele Cigna ◽  
Anna Maria Spagnoli ◽  
Mauro Tarallo ◽  
Liliana De Santo ◽  
Giampaolo Monacelli ◽  
...  
Keyword(s):  
Vascular Disease ◽  
Chronic Inflammation ◽  
Ulnar Nerve ◽  
Ulnar Artery ◽  
Nerve Entrapment ◽  
Nerve Compression ◽  
Arterial Flow ◽  
Ulnar Nerve Compression ◽  
Hypothenar Hammer Syndrome ◽  
Repetitive Trauma

Introduction. The hypothenar hammer syndrome is a rare traumatic vascular disease of the hand. Method and Materials. We report the case of a 43-years-old man with a painful tumefaction of the left hypothenar region. The ulnar artery appeared thrombosed clinically and radiologically. The patient underwent surgery to resolve the ulnar nerve compression and revascularise the artery. Results. The symptoms disappeared immediately after surgery. The arterial flow was reestablished. Postoperatively on day 20, a new thrombosis of the ulnar artery occurred. Conclusion. Hypothenar hammer syndrome is caused by repetitive trauma to the heel of the hand. The alterations of the vessel due to its chronic inflammation caused an acute compression of the ulnar nerve at the Guyon's canal and, in our case, do not allow a permanent revascularisation of the ulnar artery.

Cervical vertebral fractures in 56 dogs: a retrospective study

1999 ◽  
Vol 35 (2) ◽  
pp. 135-146 ◽  
Author(s):  
JC Hawthorne ◽  
WE Blevins ◽  
LJ Wallace ◽  
N Glickman ◽  
DJ Waters
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Functional Recovery ◽  
Vertebral Fractures ◽  
Perioperative Period ◽  
Clinicopathological Features ◽  
Neurological Deficits ◽  
Perioperative Mortality ◽  
Cervical Fractures

The clinicopathological features of cervical fractures in 56 dogs were reviewed. "Hit by car" (HBC) was the most common inciting cause, and the axis and atlas were the vertebrae most frequently affected. Surgical treatment was associated with high (36%) perioperative mortality. However, all dogs that survived the perioperative period achieved functional recovery. Functional recovery was achieved in 25 (89%) of 28 nonsurgically treated dogs with adequate follow-up. Overall, severity of neurological deficits (nonambulatory status) and prolonged interval (five days or longer) from trauma to referral were associated with poorer outcome. Nonsurgical treatment is a viable therapeutic approach for many dogs with cervical fractures. Early neck immobilization and prompt referral are recommended, because delay in referral decreases the likelihood of functional recovery.

scholarly journals Technical Notes and Result of Stereotactic Evacuation of Hematoma in Spontaneous Supratentorial Intracerebral Hematoma

2018 ◽  
Vol 15 (3) ◽  
pp. 27-31
Author(s):  
Resha Shrestha ◽  
Pranaya Shrestha ◽  
Pravesh Rajbhandari ◽  
Samir Acharya ◽  
Sudan Dhakal ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Minimal Invasive ◽  
Technical Note ◽  
Stereotactic Surgery ◽  
Intracerebral Hematoma ◽  
Modified Rankin Scale ◽  
Hematoma Volume ◽  
Baseline Characteristics

Primary intracerebral hematoma constitutes about 10-15% of all strokes and is associated with high mortality and severe disability. Surgical treatment of intracerebral hemorrhage is quite controversial. It is believed that minimal invasive stereotactic surgery may reduce hematoma volume and decrease secondary neurotoxicity. The technical note of stereotactic surgery has been illustrated. A retrospective study from March 2016 to March 2018 has been conducted and all patients who underwent stereotactic evacuation of hematoma were included in this study. Baseline characteristics of patients and outcome in terms of Glasgow Coma Scale (GCS) and Modified Rankin Scale (mRS) have been shown. We have found significant improvement in GCS postoperatively, however mRS did not improve immediately but was significantly better in three months follow up period.

Fixation of fifth metacarpal neck fractures: a comparison of medial locking plates with intramedullary K-wires

2020 ◽  
Vol 45 (6) ◽  
pp. 567-573 ◽  
Author(s):  
Kuan-Jung Chen ◽  
Jung-Pan Wang ◽  
Cheng-Yu Yin ◽  
Hui-Kuang Huang ◽  
Ming-Chau Chang ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Operative Time ◽  
Locking Plates ◽  
Level Of Evidence ◽  
Plate Group ◽  
Motion Time ◽  
Wire Fixation ◽  
K Wires

Surgical treatment for metacarpal neck fractures may be indicated for malrotation, palmar angulation exceeding 30° or metacarpal shortening exceeding 3 mm, although these thresholds have not been firmly established. In a retrospective study, we compared the clinical and radiographic results of 54 patients with displaced fifth metacarpal neck fractures who were treated with either medial locking plates (14 patients) or retrograde intramedullary K-wires (40 patients). At a mean follow-up of 26 months (range 12 to 62), metacarpal shortening and angulation were 2 mm greater and 4° greater, respectively, in the K-wire group. The plate group had an earlier return to work and greater aesthetic satisfaction, but operative time and complication incidence were higher. Range of motion, time to union, grip strength and Quick Disability of the Arm, Shoulder and Hand scores were similar. We conclude that medial plating offers no clear advantage over K-wire fixation in treating metacarpal neck fractures. Level of evidence: III

Cylinder-Shaped Bone Graft for Scaphoid Nonunion

2018 ◽  
Vol 23 (01) ◽  
pp. 96-101
Author(s):  
Hitoshi Hatanaka ◽  
Minoru Takasaki ◽  
Hiroko Furusho ◽  
Yasuhiro Omori
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Bone Graft ◽  
Iliac Crest ◽  
Bone Grafts ◽  
Scaphoid Nonunion ◽  
Wrist Motion ◽  
Operative Outcomes

Background: Wedge-shaped bone grafts that are internally fixed by a Herbert-type screw are a well-established surgical treatment for scaphoid nonunion. A procedure using cylinder-shaped bone grafts was also reported, but preoperative wrist functions were not assessed. In addition, it was not reported whether the humpback deformity of the scaphoid nonunion was corrected. The purpose of the current study was to compare preoperative wrist functions in cases of scaphoid nonunion with those observed at final follow-up, using cylinder-shaped bone grafts The humpback deformity of the scaphoid nonunion was also evaluated.Methods: We conducted a retrospective study to examine operative outcomes from 2008 to 2015. Twelve wrists in 12 patients (average age, 41 years; range, 17–67), with a mean follow-up of 19 months, were included in the current study. Cylinder-shaped bone grafts were obtained from the iliac crest with a newly designed trephine and fixed with a Herbert-type screw. We reviewed both the preoperative wrist functions and those obtained at final follow-up.Results: Union was achieved in 11 of 12 nonunion cases. Preoperative wrist functions, except for the range of wrist motion, significantly improved by final follow-up.Conclusions: We conclude that the use of cylinder-shaped bone grafts improves preoperative wrist functions in cases of scaphoid nonunion.

ENCHONDROMA IN THE HAND RETROSPECTIVE STUDY — RECURRENCE CASES

Hand Surgery ◽  
2002 ◽  
Vol 07 (01) ◽  
pp. 7-10 ◽  
Author(s):  
Lidia Merida Montero ◽  
Yoshikazu Ikuta ◽  
Osamu Ishida ◽  
Yoshinori Fujimoto ◽  
Masakazu Nakamasu
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Retrospective Analysis ◽  
Bone Grafting

This is a retrospective analysis of 21 patients with documented enchondroma of the hand. They were operated on between 1980 to 2000 with conventional curettage nd bone grafting. The objective of this study is to analyse the chance of recurrence and evaluate the effectiveness of surgical treatment. One patient had recurrence after six years. Longer follow-up period is recommended as there is a possibility of recurrence even after five years. This study revealed that enchondroma of the hand is more common on the ulnar site.

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