The hypothenar hammer syndrome describes a constellation of symptoms resulting from repetitive trauma to the hypothenar eminence, often due to the use of the hand as a hammer. Sequelae of this syndrome include both true and false aneurysms, as well as thrombosis of the ulnar artery due to its vulnerability to blunt trauma as it exits Guyon's canal. Although this is a relatively well-documented ...

Herein, we present an interesting case of an aberrant hypothenar muscle found during carpal tunnel decompression. The variant muscle arised from the voloradial antebrachial fascia and coursed over the ulnar artery and nerve in the Guyon canal, and inserted into the ulnar aspect of the hypothenar. Tension on the muscle belly provided slight abduction of the fifth metacarpophalangeal joint, which...

Significant unprotected left main coronary artery (ULMCA) disease occurs in 5-7% of patients undergoing coronary angiography [1,2] and patients with ULMCA disease treated medically have a three years mortality rate of 50% [3,4]. Advances in percutaneous intervention techniques and stent technology have allowed evolution of the role of percutaneous coronary intervention (PCI) for left main disea...

Sir, This letter is with regards to our article on the ulnar digital artery perforator flap that was published in IJPS recently.[1] Following the publication, another article about a similar flap was bought to our notice. This article by Uchida et al.[2] from Tokyo Medical University, Japan, essentially described the same flap with anatomical studies. We missed this publication in our initial l...

BACKGROUND Accessory ADM was first reported in 1868 although muscular, vascular and nervous variations of the hypothenar eminence are rare, contrary to anomalous muscles in the wrist which are relatively common. CASE PRESENTATION This case report presents a bilateral variation of an accessory abductor digiti minimi muscle in a male specimen. Ulnar artery and ulnar nerves were taken into accou...

Aim: Brachial artery access is an alternative approach to endovascular interventions when the femoral, radial, or ulnar arteries not feasible, but it carries higher risk of periprocedural complications than other approaches, including median nerve injury. Nerve injuries can occur by direct puncture compression, with hematoma being most common cause. Sometimes compartment syndrome accompany inju...

Despite wide spread use of the radial artery (RA) graft for coronary artery bypass grafting, the change of hand circulation after RA harvest has not been fully clarified. Severe hand ischemia such as resting pain or gangrene is a rare complication and has been reported in 4 patients. These cases resulted from occlusive artery disease in forearm, which should be carefully explored before RA harv...

A renal transplant patient presented with a sudden onset of painful left index finger (Figure 1). He had a palpable left radial pulse with an absent ulnar pulse. The left index finger was cold and dusky with reduced capillary refill and sensation. There were multiple splinter haemorrhages visible in the left hand only (Figure 2). He had a non-functional arteriovenous fistula (AVF) at the left w...

This article gives contemporary review on the forearm approach for percutaneous diagnostic and interventional coronary procedures. Advantages and disadvantages as well as practical issues and current controversies regarding both radial and ulnar artery approach are discussed throughout the paper. Having in mind advantages of forearm approach in terms of safety and comfort over the traditional f...

BACKGROUND The ulnar free forearm flap (UFFF) represents a variant of soft tissue transplants for orofacial reconstruction with specific topographic anatomy of the donor-site, which has to be considered during flap raising. METHODS Analysis of intraoperative findings during harvest of 322 UFFFs for head and neck reconstruction was performed. Harvest technique in view of variations of skin fla...