TY - CHAP M1 - Book, Section TI - HYPOTHENAR HAMMER SYNDROME A1 - Sundaram, Shankar M. A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. PY - 2015 T2 - Color Atlas and Synopsis of Vascular Diseases AB - A 43-year-old man presented with no relevant past medical, family or social history except for 1 pack-a-day tobacco use.Several-week history of right fourth- or fifth-digit coolness, pain, and ulceration of fourth digit.No medications.Patient's occupation was manual labor.His physical examination showed the following:There were 2+ carotid, brachial, radial, femoral, popliteal, and pedal pulses. He did not have an ulnar pulse on the right side.He had ischemia of his right fourth and fifth fingers, with decreased capillary refill, and there was a dry, and ischemic ulceration over the nail bed laterally on the fourth finger. No signs of infection were present.A Doppler signal was present over the palmar arch until the radial artery was manually compressed. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105290057 ER -