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Hypothenar hammer syndrome and repair of ulnar artery aneurysm in a patient without history of trauma
  1. Justin Hart1,
  2. Raymond Hajjar1 and
  3. Eugene Laveroni2
  1. 1Plastic and Reconstructive Surgery, Beaumont Hospital - Farmington Hills, Farmington Hills, Michigan, USA
  2. 2Vascular Surgery, Beaumont Hospital - Farmington Hills, Farmington Hills, Michigan, USA
  1. Correspondence to Dr Justin Hart; justin.hart{at}


The patient is a 50-year-old male with a history of tobacco use presented for evaluation of pulsatile right-hand mass. The patient was employed as a barber but had no known history of trauma or injury. He was diagnosed with hypothenar hammer syndrome and underwent excision of ulnar artery aneurysm with reconstruction of ulnar artery with interposition saphenous vein graft. The presented case describes an uncommon presentation of hypothenar hammer syndrome in a patient without history of repetitive blunt trauma or injury and discusses the diagnosis, pathophysiology and treatment options for symptomatic ulnar artery aneurysm.

  • surgery
  • plastic and reconstructive surgery
  • vascular surgery

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  • Contributors The patient was under the care of EL. The manuscript was written and prepared by JH. JH, RH and EL contributed to manuscript editing and review of text.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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