title: Acute Arterial Thrombosis of the Hand.
abstract: Arterial thrombosis of the hand occurs infrequently but may result in considerable morbidity and compromise of hand function. The hand surgeon may be called upon to direct management in cases of acute arterial thrombosis of the hand and should have an understanding of the available diagnostic tools and treatment modalities. This article discusses the vascular anatomy of the hand and clinical manifestations of arterial thrombosis. Differences between isolated thrombosis and diffuse intravascular injury are detailed, and treatment options for these conditions are described. Appropriate care often requires coordination with interventional radiologists or vascular surgeons. Outcomes after treatment of arterial thrombosis of the hand are variable, and prognosis may be related to whether isolated thrombosis or diffuse intravascular injury is present.
authors.affiliation: Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.
authors.forename: Nicholas P
authors.initials: NP
authors.lastname: Iannuzzi
authors.affiliation: Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD. Electronic address: anne.mattson@medstar.net.
authors.forename: James P
authors.initials: JP
authors.lastname: Higgins
mesh_terms: D000208:Acute Disease; D000792:Angiography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000175:diagnosis* / Q000628:therapy; D004502:Education, Medical, Continuing; D005260:Female; D006225:Hand / Q000098:blood supply*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D064847:Multimodal Imaging / Q000379:methods*; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D035583:Rare Diseases; D013927:Thrombosis / Q000175:diagnosis* / Q000628:therapy*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D017535:Ulnar Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D018084:Ultrasonography, Interventional
keywords: Arterial injury; botulinum toxin; hypothenar hammer syndrome