Purpose: We propose a standardized sonographic examination technique to evaluate the muscles of the hypothenar region and describe their normal sonographic appearance.
Methods: The hypothenar region was studied with sonography in 20 healthy volunteers using 5-12-MHz linear-array transducers. The assessment included dynamic testing.
Results: All hypothenar muscles could be identified in all subjects and their courses followed entirely. In addition, their function could be assessed by scanning during active and passive movements.
Conclusions: Knowledge of the normal sonographic anatomy of the hypothenar region is essential for evaluation of pathologic conditions.
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http://dx.doi.org/10.1002/jcu.10009 | DOI Listing |
J Vasc Bras
December 2024
Universidade Federal do Ceará - UFC, Hospital Universitário Walter Cantídio - HUWC, Fortaleza, CE, Brasil.
Ulnar artery aneurysms are extremely rare and are mainly associated with hypothenar hammer syndrome, an ischemic disorder of the hand resulting from mechanical and repetitive trauma to the hypothenar region. The ulnar artery is hit against the hook of the hamate bone, causing damage to the vessel wall and leading to occlusion or formation of an aneurysm. We describe the case of a truck driver who underwent resection of an ulnar artery aneurysm in the right hand and reconstruction using end-to-end anastomosis with no complications or recurrence.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Department of Surgery, School of medicine, Debre Markos University, 269, Ethiopia.
Introduction: Lipomas are benign tumors primarily composed of adipose tissue, typically found in subcutaneous or intramuscular sites across the body. While lipomas in the hand are uncommon, their occurrence in both thenar and hypothenar eminences is exceedingly rare.
Case Presentation: In this case, 65-year-old female admitted to hospital with a ten-year history of progressive swelling in the palmar aspect of her right hand, resulting in limited finger movement.
Plast Reconstr Surg Glob Open
November 2024
From the Department of Orthopedics and Rehabilitation, Stony Brook University, Stony Brook, N.Y.
Background: Local flaps are commonly used for reconstruction of digital soft-tissue defects. There remains a paucity of options available for small finger volar and dorsal soft-tissue defects distal to the proximal interphalangeal joint. The purpose of this study was to analyze perforators along the hypothenar palmar region arising from the artery of the ulnar side of the small finger as it comes off the superficial palmar arch for consistency and potential to be used for perforator-based flap reconstruction of soft-tissue defects and joint coverage of the small finger.
View Article and Find Full Text PDFSports Biomech
December 2024
Department of Orthopedics and Rehabilitation, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
Wrist and hand biomechanics under full-body load are not fully understood. To identify potential anatomy-related differences in hand loading, 15 former collegiate athletes completed a 45-second handstand on a novel emed® pressure platform system. Center of pressure (CoP) and force distribution across the palmar surface were analysed during the stabilised phase.
View Article and Find Full Text PDFAnesthesiology
July 2024
Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Background: Little is known about the pharmacodynamic characteristics of liposomal bupivacaine. Hypothesizing that they would not identify pharmacodynamic differences from plain bupivacaine during the initial period after administration, but would find better long-term pharmacodynamic characteristics, the authors designed a randomized, controlled, triple-blinded, single-center study in volunteers.
Methods: Volunteers aged 18 to 55 yr (body mass index, 18 to 35 kg/m2) received two ulnar nerve blocks under ultrasound guidance.
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