Key result
Excision of the ulnar artery aneurysm and reconstruction with a reverse saphenous vein graft successfully restored blood flow and relieved symptoms in a patient with hypothenar hammer syndrome lacking a history of blunt trauma.
Why the study?
To describe an uncommon presentation of hypothenar hammer syndrome in a patient without a history of repetitive blunt trauma or injury, and to discuss diagnosis, pathophysiology, and treatment options for symptomatic ulnar artery aneurysm.
Case Report (n=1)
No
This case report demonstrates that hypothenar hammer syndrome and ulnar artery aneurysm can occur in patients without a history of repetitive blunt trauma, and can be successfully treated with excision and reverse saphenous vein graft reconstruction.
Clinicians should consider hypothenar hammer syndrome in barbers with pulsatile masses even without trauma; leaves open questions on prevalence and reconstruction durability.
The patient is a 50-year-old male with a history of tobacco use presented for evaluation of pulsatile right-hand mass. The patient was employed as a barber but had no known history of trauma or injury. He was diagnosed with hypothenar hammer syndrome and underwent excision of ulnar artery aneurysm with reconstruction of ulnar artery with interposition saphenous vein graft. The presented case describes an uncommon presentation of hypothenar hammer syndrome in a patient without history of repetitive blunt trauma or injury and discusses the diagnosis, pathophysiology and treatment options for symptomatic ulnar artery aneurysm.
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Hart et al. (2021) conducted a case report in Hypothenar hammer syndrome and ulnar artery aneurysm (n=1). Excision of ulnar artery aneurysm with interposition saphenous vein graft reconstruction was evaluated on Symptom resolution and graft patency. Excision of the ulnar artery aneurysm and reconstruction with a reverse saphenous vein graft successfully restored blood flow and relieved symptoms in a patient with hypothenar hammer syndrome lacking a history of blunt trauma.
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