Hyothenar Hammer Syndrome Clinical Evaluation Ulnar nerve symptoms: numbness, tingling, pain, weakness Ischemic symptoms: cold intolerance, pain, occasionally ulceration of the small and/or ring finger or even gangrene. Allen's test is positive. [eorif.com]

[…] golf, volleyball, karate Pathophysiology mechanism single or repetitive blunt impact on hypothenar eminence leads to ulnar artery thrombosis or aneurysm hook of hamate functions as an anvil, causing thrombosis distal embolisation leads to ulceration, gangrene [orthobullets.com]

In severe cases, other signs of digital ischaemia, eg finger pulp wasting, ulcers, eschar or gangrene. Allen's test [ 2 ] The Allen's test assesses the patency of the superficial palmar arch. [patient.info]

Because of the variable anatomy of the palmar circulation as described above, the effects of these processes can be highly variable from no symptoms to digital gangrene in injured workers and recreationists. [ncbi.nlm.nih.gov]

In severe cases, gangrene, ulceration or eschar formation of the involved fingertips may occur. 3,5,7 In one large series, 45% of patients with HHS presented with digital ischemia and necrosis and 23% presented with symptoms referable to the sensory branch [radsource.us]

Workers at risk include auto mechanics, metal workers, lathe operators, miners, machinists, butchers, bakers, carpenters, and bricklayers. Workers who use vibrating tools are also at risk. [ccohs.ca]

Typically, it occurs in men around age 40 years, in occupations and sports where the heel of the hand is used as a hammer or is subject to repeated force; for example: Occupations such as metal workers, machinists, mechanics, miners, sawmill workers, [patient.info]

Workers most at risk include metal workers, auto mechanics, lathe operators, machinists, miners, sawmill workers, butchers, bakers, brick layers and carpenters. [ncbi.nlm.nih.gov]

Workers at risk include metal workers, auto mechanics, lathe operators, machinists, miners, sawmill workers, butchers, bakers, brick layers and carpenters. 1,3,4,6,7 HHS has been associated with numerous sports including handball, baseball, tennis, squash [radsource.us]

Abstract Patients with hand and finger pain regularly present to primary care practices. [ncbi.nlm.nih.gov]

Presentation [ 2 ] Symptoms Digital symptoms (in the index, middle, ring or little fingers) - pain, paraesthesia, cold sensitivity, blanching or claudication. Hypothenar pain. Signs [ 1, 6 ] Possible signs are: A hypothenar callus or tenderness. [patient.info]

At time of follow-up the patient presented instead to Urgent Care for left lower extremity pain and swelling. [ncbi.nlm.nih.gov]

Early referral to a hand specialist should be considered as persistent signs and symptoms leading to significant disability are not uncommon with a delayed diagnosis of hypothenar hammer syndrome, noncompliance or insufficient treatment. [ncbi.nlm.nih.gov]

[…] tissue and skin Presentation History occupational or sporting risks (see above) Symptoms pain over hypothenar eminence and ring finger may involve small, middle and index fingers cold sensitivity paresthesia Physical exam inspection blanching, mottling, cyanosis [orthobullets.com]

hemorrhages over ulnar digits provocative tests Allen's test positive if occlusion is present negative if aneurysm is present Imaging Doppler ultrasound indications first line test measure digital brachial index Angiogram, CT angiogram or MR angiogram [orthobullets.com]

In addition, these findings are usually unilateral in contrast to the bilateral findings in connective tissues disorders, Raynaud’s disease and thromboangiitis obliterans. 10 Pulp wasting, splinter hemorrhages and coldness may be present in the affected [ncbi.nlm.nih.gov]

Features which differ between hypothenar hammer syndrome (HHS) and classical Raynaud's are: Male preponderance and occupational history Allen's test Lack of the normal hyperaemic flush phase of Raynaud's phenomenon Digital ulcers in area the supplied [patient.info]

On examination, the patient’s left hand showed two small papules at the base of the small fingernail but no other skin changes. [ncbi.nlm.nih.gov]

ulcerations over ulnar digits splinter hemorrhages over ulnar digits provocative tests Allen's test positive if occlusion is present negative if aneurysm is present Imaging Doppler ultrasound indications first line test measure digital brachial index [orthobullets.com]

sign (due to ulnar nerve compression) positive Allen test 2 It may be caused by any repetitive compression or blunt trauma to this region. [radiopaedia.org]

[…] acroparaesthesia Simple acroparesthesia Simple acroparesthesia (finding) Simple acroparesthesia Vasomotor dysfunction Vasomotor reaction ICD 10 CM 2017, (Clinical Modification) for coding of death certificates and mortality data. [averbis.com]

The clinical ndings included (alone or in combination) irritation of the sensory branch of the ulnar nerve in ve patients, ischaemic symptoms in ve patients and local tenderness as a presenting feature in only two patients. [kundoc.com]