Diagnosis of the hypothenar hammer syndrome by high-resolution contrast-enhanced MR angiography
Our objective was to describe the imaging features of hypothenar hammer syndrome using minimally invasive contrast-enhanced MR angiography in comparison with oscillography study. In five patients with hypothenar hammer syndrome Gd-BOPTA-enhanced elliptically reordered 3D pulse sequence MR was compar...
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| Veröffentlicht in: | European radiology 2002-10, Vol.12 (10), p.2457-2462 |
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| creator | Winterer, J T Ghanem, N Roth, M Schaefer, O Lehnhardt, S Thürl, C Horch, R E Laubenberger, J |
| description | Our objective was to describe the imaging features of hypothenar hammer syndrome using minimally invasive contrast-enhanced MR angiography in comparison with oscillography study. In five patients with hypothenar hammer syndrome Gd-BOPTA-enhanced elliptically reordered 3D pulse sequence MR was compared with oscillography findings and clinical symptoms focusing on angiographic appearance of vessel injury, distribution pattern of hand vasculature and joining branches between the radial and ulnar artery supply. All patients showed segmental occlusion at the site of trauma impact with varying involvement of the superficial palmar arch, common volar digital arteries. Embolic disease was present in 50% of patients and could be clearly identified with MRA. Good correspondence was found between angiographic appearance including the presence of collaterals, clinical symptoms and oscillography. Bilateral comparison was helpful in distinguishing between vessel variants and pathology. Bilateral Gd-BOPTA-enhanced MR angiography is a minimally invasive method to depict clearly the localization and extent of vessel injury in hypothenar hammer syndrome providing valuable information about distribution pattern of hand vasculature and presence of collaterals; however, no flow data can be obtained. |
| doi_str_mv | 10.1007/s00330-002-1324-3 |
| format | Article |
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In five patients with hypothenar hammer syndrome Gd-BOPTA-enhanced elliptically reordered 3D pulse sequence MR was compared with oscillography findings and clinical symptoms focusing on angiographic appearance of vessel injury, distribution pattern of hand vasculature and joining branches between the radial and ulnar artery supply. All patients showed segmental occlusion at the site of trauma impact with varying involvement of the superficial palmar arch, common volar digital arteries. Embolic disease was present in 50% of patients and could be clearly identified with MRA. Good correspondence was found between angiographic appearance including the presence of collaterals, clinical symptoms and oscillography. Bilateral comparison was helpful in distinguishing between vessel variants and pathology. Bilateral Gd-BOPTA-enhanced MR angiography is a minimally invasive method to depict clearly the localization and extent of vessel injury in hypothenar hammer syndrome providing valuable information about distribution pattern of hand vasculature and presence of collaterals; however, no flow data can be obtained.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-002-1324-3</identifier><identifier>PMID: 12271385</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adult ; Aneurysms ; Arterial Occlusive Diseases - diagnosis ; Catheters ; Contrast Media ; Fingers - blood supply ; Hand - blood supply ; Humans ; Ischemia ; Magnetic Resonance Angiography - methods ; Male ; Medical imaging ; Meglumine - analogs & derivatives ; Middle Aged ; Occupational Diseases - diagnosis ; Organometallic Compounds ; Patients ; Syndrome ; Trauma ; Ulnar Artery - injuries ; Veins & arteries</subject><ispartof>European radiology, 2002-10, Vol.12 (10), p.2457-2462</ispartof><rights>Springer-Verlag 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-c61d0d7ff1152a977387b968f7e8ed9522f5bef1b2f2cf5795a0163202cc4eee3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12271385$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Winterer, J T</creatorcontrib><creatorcontrib>Ghanem, N</creatorcontrib><creatorcontrib>Roth, M</creatorcontrib><creatorcontrib>Schaefer, O</creatorcontrib><creatorcontrib>Lehnhardt, S</creatorcontrib><creatorcontrib>Thürl, C</creatorcontrib><creatorcontrib>Horch, R E</creatorcontrib><creatorcontrib>Laubenberger, J</creatorcontrib><title>Diagnosis of the hypothenar hammer syndrome by high-resolution contrast-enhanced MR angiography</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><description>Our objective was to describe the imaging features of hypothenar hammer syndrome using minimally invasive contrast-enhanced MR angiography in comparison with oscillography study. In five patients with hypothenar hammer syndrome Gd-BOPTA-enhanced elliptically reordered 3D pulse sequence MR was compared with oscillography findings and clinical symptoms focusing on angiographic appearance of vessel injury, distribution pattern of hand vasculature and joining branches between the radial and ulnar artery supply. All patients showed segmental occlusion at the site of trauma impact with varying involvement of the superficial palmar arch, common volar digital arteries. Embolic disease was present in 50% of patients and could be clearly identified with MRA. Good correspondence was found between angiographic appearance including the presence of collaterals, clinical symptoms and oscillography. Bilateral comparison was helpful in distinguishing between vessel variants and pathology. Bilateral Gd-BOPTA-enhanced MR angiography is a minimally invasive method to depict clearly the localization and extent of vessel injury in hypothenar hammer syndrome providing valuable information about distribution pattern of hand vasculature and presence of collaterals; however, no flow data can be obtained.</description><subject>Adult</subject><subject>Aneurysms</subject><subject>Arterial Occlusive Diseases - diagnosis</subject><subject>Catheters</subject><subject>Contrast Media</subject><subject>Fingers - blood supply</subject><subject>Hand - blood supply</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Meglumine - analogs & derivatives</subject><subject>Middle Aged</subject><subject>Occupational Diseases - diagnosis</subject><subject>Organometallic Compounds</subject><subject>Patients</subject><subject>Syndrome</subject><subject>Trauma</subject><subject>Ulnar Artery - 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diagnosis</topic><topic>Catheters</topic><topic>Contrast Media</topic><topic>Fingers - blood supply</topic><topic>Hand - blood supply</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Meglumine - analogs & derivatives</topic><topic>Middle Aged</topic><topic>Occupational Diseases - diagnosis</topic><topic>Organometallic Compounds</topic><topic>Patients</topic><topic>Syndrome</topic><topic>Trauma</topic><topic>Ulnar Artery - injuries</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Winterer, J T</creatorcontrib><creatorcontrib>Ghanem, N</creatorcontrib><creatorcontrib>Roth, M</creatorcontrib><creatorcontrib>Schaefer, O</creatorcontrib><creatorcontrib>Lehnhardt, S</creatorcontrib><creatorcontrib>Thürl, C</creatorcontrib><creatorcontrib>Horch, R E</creatorcontrib><creatorcontrib>Laubenberger, J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winterer, J T</au><au>Ghanem, N</au><au>Roth, M</au><au>Schaefer, O</au><au>Lehnhardt, S</au><au>Thürl, C</au><au>Horch, R E</au><au>Laubenberger, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis of the hypothenar hammer syndrome by high-resolution contrast-enhanced MR angiography</atitle><jtitle>European radiology</jtitle><addtitle>Eur Radiol</addtitle><date>2002-10-01</date><risdate>2002</risdate><volume>12</volume><issue>10</issue><spage>2457</spage><epage>2462</epage><pages>2457-2462</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Our objective was to describe the imaging features of hypothenar hammer syndrome using minimally invasive contrast-enhanced MR angiography in comparison with oscillography study. In five patients with hypothenar hammer syndrome Gd-BOPTA-enhanced elliptically reordered 3D pulse sequence MR was compared with oscillography findings and clinical symptoms focusing on angiographic appearance of vessel injury, distribution pattern of hand vasculature and joining branches between the radial and ulnar artery supply. All patients showed segmental occlusion at the site of trauma impact with varying involvement of the superficial palmar arch, common volar digital arteries. Embolic disease was present in 50% of patients and could be clearly identified with MRA. Good correspondence was found between angiographic appearance including the presence of collaterals, clinical symptoms and oscillography. Bilateral comparison was helpful in distinguishing between vessel variants and pathology. Bilateral Gd-BOPTA-enhanced MR angiography is a minimally invasive method to depict clearly the localization and extent of vessel injury in hypothenar hammer syndrome providing valuable information about distribution pattern of hand vasculature and presence of collaterals; however, no flow data can be obtained.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>12271385</pmid><doi>10.1007/s00330-002-1324-3</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aneurysms Arterial Occlusive Diseases - diagnosis Catheters Contrast Media Fingers - blood supply Hand - blood supply Humans Ischemia Magnetic Resonance Angiography - methods Male Medical imaging Meglumine - analogs & derivatives Middle Aged Occupational Diseases - diagnosis Organometallic Compounds Patients Syndrome Trauma Ulnar Artery - injuries Veins & arteries |
| title | Diagnosis of the hypothenar hammer syndrome by high-resolution contrast-enhanced MR angiography |
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