title: Hand ischemia caused by solitary humeral exostosis irritating the brachial artery.
abstract: A 39-year-old woman presented with ischemia of the left hand. Angiography revealed thrombosis of forearm arteries. Surgical intervention was unsuccessful. CT angiography revealed an exostosis on the distal humerus close to the brachial artery which we believe was the cause of repetitive minor trauma to the brachial artery leading to embolic occlusion of the radial and ulnar arteries. Early diagnosis of the underlying cause is the key to successful treatment of hand ischemia. For patients without risk factors for arterial occlusive disease, imaging of bony structures must be performed in order not to miss the likely cause of an insidious repetitive vascular trauma.
authors.affiliation: Kwame Nkrumah University of Science and Technology, School of Medical Sciences Kumasi, Ghana. drgyedu@gmail.com
authors.forename: A
authors.initials: A
authors.lastname: Gyedu
authors.forename: E
authors.initials: E
authors.lastname: Arslan
authors.forename: C
authors.initials: C
authors.lastname: Koksoy
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005096:Exostoses / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D005260:Female; D006225:Hand / Q000098:blood supply*; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D017534:Radial Artery / Q000000981:diagnostic imaging; D012008:Recurrence; D013562:Sympathectomy; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D017535:Ulnar Artery / Q000000981:diagnostic imaging; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014665:Vasodilator Agents