The corkscrew sign in hypothenar hammer syndrome. J Hand Surg Br 1993 Dec;18(6):767-9
Date
12/01/1993Pubmed ID
8308439DOI
10.1016/0266-7681(93)90241-7Scopus ID
2-s2.0-0027759496 (requires institutional sign-in at Scopus site) 33 CitationsAbstract
Arteriography of an adult manual labourer presenting with numbness and cold intolerance in the middle and ring fingers of the right hand demonstrated filling defects in the digital arteries of these two fingers associated with a corkscrew-like configuration of the ulnar artery in Guyon's canal. This arterial segment was subsequently excised revealing intramural necrosis and fibrosis and nonocclusive intraluminal thrombosis. An arteriogram performed 2 years previously for an unrelated condition revealed a similar but less pronounced corkscrew configuration of the artery, suggesting that this finding could be a marker for arterial injury which may eventually lead to embolization or thrombosis with accompanying ischaemic symptoms.
Author List
Hammond DC, Matloub HS, Yousif NJ, Sanger JRAuthors
Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of WisconsinJames R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultFingers
Humans
Ischemia
Male
Radiography
Raynaud Disease
Thrombosis
Ulnar Artery
