• U Wahl, E Ochsmann, F Siemers, C C Corterier, and T Hirsch.
• Medizinische Klinik, Dir.: Dr. med. F. Ernst, BG Klinikum Bergmannstrost Halle, Merseburger Straße 165, 06112, Halle/Saale, Deutschland. uwe.wahl@bergmannstrost.de.
• Unfallchirurg. 2022 Apr 1; 125 (4): 327-335.

BackgroundLimited hand function as the result of occupational exposure or accidental injury could primarily be of vascular origin. Since it is quite rarely seen in the course of routine traumatology, special awareness of this is needed.Aim Of The PaperThe occupational diseases hypothenar/thenar hammer syndrome (occupational disease 2114) and vibration-induced vasospastic syndrome (occupational disease 2104) are presented on the basis of their etiological and pathogenetic characteristics, taking aspects of occupational medicine and expert opinion into consideration.DiscussionBlunt force trauma to vascular structures of the hand can damage the tunica intima of the affected thenar or hypothenar arteries. Chronic exposure of the arms, hands and fingers to vibration can lead to the injury of nerve and vascular structures. Thermometry and pallesthesiometry are used in the diagnostics alongside methods of vascular medicine.ConclusionVascular entities can also play a role in the surgical assessment of the impact of an accident or of an occupational disease after exposure to vibration. Awareness of them can shorten the latency between the onset of symptoms and a definitive diagnosis.© 2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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