title: [Pseudoaneurysm of the radial artery in the hand].
abstract: Over 1,400,000 cases of hand trauma are identified each year in France, with a large proportion with open wounds, accounting for significant activity in orthopedic surgery emergency units. It is customary to focus on nerve or tendon injuries as a priority. However, even partial vascular lesions may be complicated by a false aneurysm. We report the case of a false aneurysm of the palmar branch of the radial artery in 25-year-old man, 6 months after a non-treated puncture wound of the thenar eminence. Surgery was undertaken because of increased volume and discomfort on gripping. The surgical procedure consisted of resection and arterial ligature, after a positive preoperative Allen test. Hand aneurysms require an individualized therapeutic procedure. Origins may be diverse; the palmar digital location requires complex treatment. Compensation via a collateral arterial network is required for the vascular steal following ligation and resection. Careful exploration is needed to ensure appropriate compensation. Otherwise, a revascularization procedure must be considered. Some authors propose new less invasive treatments as an alternative to surgery. Even though surgery is relatively simple, the best means of prevention still remains a systematic exploration of vascular elements in case of a hand wound.
authors.affiliation: Service de chirurgie orthopédique et traumatologique, centre hospitalier de Beauvais, 40, avenue Léon-Blum, 60021 Beauvais, France.
authors.forename: M
authors.initials: M
authors.lastname: Temam
authors.affiliation: Service SOS-Main Nord Francilien, clinique Conti, 3, chemin des 3 sources, 95290 L'Isle-Adam, France.
authors.forename: O
authors.initials: O
authors.lastname: Abadie
authors.affiliation: Service SOS-Main Nord Francilien, clinique Conti, 3, chemin des 3 sources, 95290 L'Isle-Adam, France.
authors.forename: A
authors.initials: A
authors.lastname: Chetboun
authors.affiliation: Service SOS-Main Nord Francilien, clinique Conti, 3, chemin des 3 sources, 95290 L'Isle-Adam, France. Electronic address: william.mamane@yahoo.fr.
authors.forename: W
authors.initials: W
authors.lastname: Mamane
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D005602:France; D006225:Hand / Q000098:blood supply; D006230:Hand Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D017534:Radial Artery / Q000601:surgery; D014950:Wounds, Penetrating / Q000150:complications
keywords: Artère radiale; False aneurysm; Faux anévrysme; Hand wound; Plaie de la main; Radial artery