Use of Arterial Grafts in Hypothenar Hammer Syndrome: Application of Perforator Flap Anatomy.

ABSTRACT:

Background

Hypothenar hammer syndrome (HHS) is traditionally treated with venous bypass grafting, but controversy has arisen as arterial grafts have become more available.

Methods

A retrospective review of all patients undergoing ulnar artery bypass grafting for HHS with an arterial graft from 2008 to 2017 was performed. We also review the literature for patency rates and discuss the scenarios that favor different graft choices.

Results

Six patients were included in our series. Five had primary surgery and 1 had revision surgery for HHS. Five arterial grafts were from the deep inferior epigastric artery and 1 was from the lateral circumflex femoral artery. The proximal anastomotic site was the ulnar artery for all: n = 6. The distal anastomosis site was the palmar arc

SUBMITTER: Diaz-Abele J 

PROVIDER: S-EPMC7644834 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature