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Hypothenar hammer syndrome (HHS) is a vascular occlusion in humans in the region of the ulna.It is caused by repetitive trauma to the hand or wrist (such as that caused by the use of a hammer) [2] by the vulnerable portion of the ulnar artery as it passes over the hamate bone, which may result in thrombosis, irregularity or aneurysm formation.
Wrist sprains may occur when a ligament is ruptured or lacerated in severe trauma, stretched or twisted. [1] Commonly, wrist pain is caused by sudden load-bearing or twisting effects, such as falling from a height with an outstretched hand. [1] Rupture of multiple wrist ligaments in a more severe event may require surgical repair. [1]
During the exam of the arm, wrist, and hand, the doctor will look for: difficulty straightening the arm at the elbow; trouble turning the arm outward; difficulty lifting the wrist; muscle loss or atrophy in the forearm; weakness of the wrist and/or fingers. [7] In addition, tests may need to be conducted to confirm the doctors findings.
People tend to sleep with their wrists flexed, which increases pressure on the nerve. Ache and discomfort may be reported in the forearm or even the upper arm. [31] Symptoms that are not characteristic of CTS include pain in the wrists or hands, loss of grip strength, [32] minor loss of sleep, [33] and loss of manual dexterity. [34]
Symptoms of radial neuropathy vary depending on the severity of the trauma; however, common symptoms may include wrist drop, numbness on the back of the hand and wrist, and inability to voluntarily straighten the fingers. Loss of wrist extension is due to loss of the ability to move of the posterior compartment of forearm muscles.
Symptoms are pain and tenderness at the radial side of the wrist, fullness or thickening over the thumb side of the wrist, painful radial abduction of the thumb, and difficulty gripping with the affected side of the hand. [2] Pain is made worse by movement of the thumb and wrist, and may radiate to the thumb or the forearm. [2]