RESUMO
This report describes an unusual case of bilateral radial artery thrombosis associated with multiple weblike stenoses and pseudoaneurysms secondary to cumulative trauma in a manual laborer who used both hands for impacting at both the thenar and hypothenar aspects of the hand. In this case, thenar hammer syndrome was associated with acute ischemia of the long finger. The condition was treated surgically with arterial resection and reestablishment of blood flow to the hand. Noted improvement occurred with restoration of arterial competence.
Assuntos
Falso Aneurisma/complicações , Transtornos Traumáticos Cumulativos/complicações , Artéria Radial , Falso Aneurisma/diagnóstico por imagem , Dedos/irrigação sanguínea , Humanos , Isquemia/etiologia , Masculino , Pessoa de Meia-Idade , Artéria Radial/diagnóstico por imagem , Radiografia , Síndrome , Trombose/complicaçõesRESUMO
The retrograde radial fascial forearm flap may be used to provide appropriate tissue coverage for nerve, tendon, or soft tissue defects in the forearm and hand. The procedure is differentiated from the standard radial forearm flap in that the radial artery remains intact when the retrograde radial fascial flap is designed. The rationale, technique, and clinical application of the flap are presented in order to allow surgeons to maintain the radial arterial trunk in continuity while obtaining the advantage of appropriate soft tissue cover in this critical area.
