• J Med Imaging Radiat Oncol · Dec 2017

    Case Reports

    Hypothenar hammer syndrome in an office worker.

    • Fan Zhang, Yuranga Weerakkody, and Patrik Tosenovsky.
    • Department of Radiology, Royal Perth Hospital, Perth, Western Australia, Australia.
    • J Med Imaging Radiat Oncol. 2017 Dec 1; 61 (6): 774-776.

    AbstractHypothenar hammer syndrome (HHS) is an uncommon cause of unilateral Raynaud's phenomenon, splinter haemorrhages and hypothenar weakness. The typical patient is a male blue-collar worker who uses their hypothenar eminence to hammer objects as part of their work. The distal ulnar artery beyond Guyon's canal is superficial and vulnerable to blunt trauma. CTA and MRA are common initial investigations and can suggest the diagnosis. DSA is the gold standard imaging modality and offers therapeutic opportunities. Management is controversial, but unless there is critical digital ischaemia, conservative treatment is first line.© 2017 The Royal Australian and New Zealand College of Radiologists.

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