title: Critical ischemia of the fingers in an auto mechanic as a result of occupational exposure.
abstract: Hypothenar hammer syndrome is a rare cause of ischemic fingers observed mainly in young men smoking cigarettes and it is associated with repeated trauma of the ulnar artery in the area of the hypothenar eminence of the dominant-hand arm, resulting in a deficit of blood supply with the occurrence of hand symptoms typical for chronic and sometimes critical ischemia. Artery injury in this location is most often the result of multiple repetitions of the same activity being mostly the result of occupational exposure. We present a case of a 27-year-old car mechanic admitted to the hospital with symptoms of critical ischemia of the fingers III, IV, and V of the right hand, which resolved after conservative treatment.
authors.affiliation: Medical University in Wroclaw, Wrocław, Poland (Department of Angiology, Hypertension and Diabetology). maciejrabczynski@gmail.com.
authors.forename: Maciej
authors.initials: M
authors.lastname: Rabczyński
authors.affiliation: Medical University in Wroclaw, Wrocław, Poland (Department of Angiology, Hypertension and Diabetology).
authors.forename: Edwin
authors.initials: E
authors.lastname: Kuźnik
authors.affiliation: Medical University in Wroclaw, Wrocław, Poland (Department of Radiology, Institute of General Radiology, Interventional Radiology and Neuroradiology).
authors.forename: Maciej
authors.initials: M
authors.lastname: Guziński
authors.affiliation: Medical University in Wroclaw, Wrocław, Poland (Department of Angiology, Hypertension and Diabetology).
authors.forename: Rajmund
authors.initials: R
authors.lastname: Adamiec
mesh_terms: D000328:Adult; D001336:Automobiles; D012090:Cumulative Trauma Disorders / Q000150:complications*; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008283:Maintenance; D008297:Male; D009784:Occupational Diseases / Q000150:complications*
keywords: HHS; critical ischemia; occupational exposure; vascular disease