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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.
The main symptoms are pain in the hand, numbness, and tingling in the thumb, index finger, middle finger, and the thumb side of the ring finger. [1] Symptoms are typically most troublesome at night. [2] Many people sleep with their wrists bent, and the ensuing symptoms may lead to awakening. [7]
Because of this major role of the median nerve, it is also called the eye of the hand. [1] If the median nerve is damaged, the ability to abduct and oppose the thumb may be lost due to paralysis of the thenar muscles. Various other symptoms can occur which may be repaired through surgery and tendon transfers.
Current treatments for hand deformities can be classified by non-surgical or surgical methods. Non-surgical options aim to reduce symptoms and maintain function, such as medicinal treatments like corticosteroids, physical therapy, and splinting. Surgical procedures, however, are rather reserved for extreme cases, but this depends on the ...
Ulnar tunnel syndrome, also known as Guyon's canal syndrome or Handlebar palsy, is ulnar neuropathy at the wrist where it passes through the ulnar tunnel (Guyon's canal). [1] ...
Also note the muscular atrophy of the thenar eminence in the left hand, a common sign of advanced CTS. The goal of any carpal tunnel release surgery is to divide the transverse carpal ligament and the distal aspect of the volar ante brachial fascia, thereby decompressing the median nerve and providing relief. [ 8 ]