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dc.contributor.authorSahin, Mehmet Sukru
dc.contributor.authorOzyurekoglu, Tuna
dc.contributor.authorCakmak, Gokhan
dc.date.accessioned2019-12-06T07:57:01Z
dc.date.available2019-12-06T07:57:01Z
dc.date.issued2015
dc.identifier.issn1305-8282
dc.identifier.urihttp://www.tevak.org/pdf/dergi/2015/pdfsno1/26_1_11_15.pdf
dc.identifier.urihttp://hdl.handle.net/11727/4333
dc.description.abstractObjectives: This study aims to report our experience regarding patients who were surgically treated due to hypothenar hammer syndrome and review the related literature. Patients and methods: The study included 11 hands of eight patients (5 males, 3 females; mean age 48 years; range 29 to 60 years) who underwent surgery due to hypothenar hammer syndrome between September 2004 and March 2013. Mean follow-up period was 50 months (range 3-103 months). The time of symptom onset, occupational history, and detailed physical examination findings were recorded. Surgery was performed under sedation and axillary anesthesia. Distal segment of the forearm, all thrombosed segments of the Guyon and superficial arch were removed. Reconstruction of the ulnar artery and the superficial arch was performed using vein grafts obtained from the forearm. Results: While all patients' dominant hand was affected, both hands were affected in three patients. All patients complained of pain and color change in one finger or multiple fingers. While minimal amputation and debridement of fingertip pulp was performed in two patients, all other patients recovered uneventfully. Patency of the ulnar artery was uneventful at follow-up in five of the eight patients, whereas three patients were performed revision surgery for a new vein graft. Most patient complaints resolved during the follow-up period. Conclusion: Hypothenar hammer syndrome is a disease of the upper extremities that should be considered in patients with digital ischemia, and a history of manual labor and smoking. Although this disease can be treated with conservative therapy, advance-stage patients who fail to respond to conservative treatment can be treated surgically with vein grafts.en_US
dc.language.isoengen_US
dc.relation.isversionof10.5606/ehc.2015.04en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectArterial reconstructionen_US
dc.subjectdigital ischemiaen_US
dc.subjecthypothenar hammer syndromeen_US
dc.subjectulnar arteryen_US
dc.subjectvein graften_US
dc.titleHypothenar hammer syndrome: a case series and literature reviewen_US
dc.typearticleen_US
dc.relation.journalEKLEM HASTALIKLARI VE CERRAHISI-JOINT DISEASES AND RELATED SURGERYen_US
dc.identifier.volume26en_US
dc.identifier.issue1en_US
dc.identifier.startpage11en_US
dc.identifier.endpage15en_US
dc.identifier.wos000351408800004


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