RT Book, Section
A1 Sundaram, Shankar M.
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105290057
T1 HYPOTHENAR HAMMER SYNDROME
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesscardiology.mhmedical.com/content.aspx?aid=1105290057
RD 2024/04/20
AB A  43-year-old  man  presented  with  no  relevant  past  medical,  family  or  social  history  except  for  1  pack-a-day  tobacco  use.Several-week  history  of  right  fourth-  or  fifth-digit  coolness,  pain,  and  ulceration  of  fourth  digit.No  medications.Patient's  occupation  was  manual  labor.His  physical  examination  showed  the  following:There  were  2+  carotid,  brachial,  radial,  femoral,  popliteal,  and  pedal  pulses.  He  did  not  have  an  ulnar  pulse  on  the  right  side.He  had  ischemia  of  his  right  fourth  and  fifth  fingers,  with  decreased  capillary  refill,  and  there  was  a  dry,  and  ischemic  ulceration  over  the  nail  bed  laterally  on  the  fourth  finger.  No  signs  of  infection  were  present.A  Doppler  signal  was  present  over  the  palmar  arch  until  the  radial  artery  was  manually  compressed.