Traumatic aneurisms of the ulnar artery. Report of five cases.
DUVERGER V
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VERGOS M
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SINGLAND JD
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MEYRAT L
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BONNET S
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BAUER B
Seance of wednesday 23 june 2004 (SEANCE COMMUNE AVEC L'ECOLE D'APPLICATION DU SERVICE DE SANTE DES ARMEES)
Abstract
Most aneurysms of hand arteries are traumatic. It is a rare pathology,generally unrecognized, with serious complications (emboliand thromboses of interdigital arteries).Two main causes are to be remembered :- acute trauma, with development of a false aneurysm ;- frequent microtrauma (hand hammer syndrome), with occurrenceof an arterial dysplasic aneurysm.The diagnosis is based on the presence of a pulsatile mass, withfinger dysesthesia, unilateral Raynaud’s phenomenon.It is confirmed by Echo Doppler. Arteriography is necessary butcould be replaced by an angioMR.The authors report 5 cases of such aneurisms. They describe thispathology and try to precise the therapeutic modalities.
