Point-of-care Ultrasound to Identify Distal Ulnar Artery Thrombosis: Case of Hypothenar Hammer Syndrome.
Hypothenar hammer syndrome (HHS) is a rare condition of distal ulnar artery injury and thrombosis secondary to repetitive blunt trauma to the hypothenar area. We present a case of HHS for which point-of-care ultrasound (POCUS) was used as the initial means of imaging, prompting management and disposition without further imaging studies ordered in the emergency department (ED). This case demonstrates the utility of POCUS to aid the Emergency Physician in the diagnosis and management of patients with extremity vascular issues in the ED, and details a rarely seen clinical entity in the ED.
University of Missouri, Department of Emergency Medicine, Columbia, Missouri.
Jonathan
J
Ken
University of Missouri, Department of Internal Medicine, Columbia, Missouri.
Darshan
D
Khangura
University of Missouri, Department of Emergency Medicine, Columbia, Missouri.
Sean P
SP
Stickles
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000175:diagnosis* / Q000188:drug therapy; D001241:Aspirin / Q000627:therapeutic use; D004632:Emergency Medical Services; D006801:Humans; D008297:Male; D000067716:Point-of-Care Testing; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D017535:Ulnar Artery / Q000000981:diagnostic imaging*; D014463:Ultrasonography; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin; D001241:Aspirin