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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Hypothenar hammer syndrome in an office worker.
    Author: Zhang F, Weerakkody Y, Tosenovsky P.
    Journal: J Med Imaging Radiat Oncol; 2017 Dec; 61(6):774-776. PubMed ID: 28901690.
    Abstract:
    Hypothenar 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.
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