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Journal of Hand Surgery (British and European Volume)
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Articles

Hypothenar Hammer Syndrome

Retrospective study of nine cases

D. DE MONACO
E. FRITSCHE
G. RIGONI
S. SCHLUNKE
U. VON WARTBURG

From the Department of Surgery, Section of Hand, Plastic and Reconstructive Surgery, Kantonsspital Lucerne, Lucerne, Switzerland

Correspondence: D. De Monaco MD, Department of Surgery, Section of Hand, Plastic and Reconstructive Surgery, Kantonsspital Luzern, 6006 Luzern, Switzerland.

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.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 6, 731-734 (1999)
DOI: 10.1054/JHSB.1999.0248
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