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Case Reports
. 2019 Jun 18:19:ic15.
eCollection 2019.

Drummer's Thumb: Ulnar Digital Artery Thrombosis and Aneurismal Change From Repetitive Drumstick Trauma After Carpal-Metacarpal Arthroplasty

Michael R Ruebhausen  1 , Nada N Berry  1
Affiliations
Case Reports

Drummer's Thumb: Ulnar Digital Artery Thrombosis and Aneurismal Change From Repetitive Drumstick Trauma After Carpal-Metacarpal Arthroplasty

Michael R Ruebhausen et al. Eplasty. .
No abstract available

Keywords: CMC arthroplasty; arterial thrombosis; drummer; hypothenar hammer; repetitive trauma.

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Figures

Figure 1
Figure 1
Magnetic resonance imaging of the left thumb. STIR images showing hypointensity of the ulnar digital vessel (black arrow). Note the hyperintense signal of the patent radial digital artery (red arrow). This finding was not considered diagnostic of arterial occlusion.
Figure 2
Figure 2
In situ thrombosed ulnar digital artery of the left thumb. Notice the purple discoloration of thrombus as well as the proximal white discoloration and the “corkscrew” conformation of the vessel (A, red). Thrombus was noted in the vessel when it was cut proximally, but there was no backflow even after thrombus removal. The nerve is linear and appears normal (N, black).
Figure 3
Figure 3
Transected arterial specimen. Note that the corkscrew conformation persisted after transection, suggesting significant intimal damage.
Figure 4
Figure 4
Proper drumstick grip. (a) Demonstration of match grip. The fulcrum is directed between the distal portion of the thumb and the index finger. (b) Demonstration of traditional grip. Note the position of the drumstick through the first web space. Photo credit Maria Ansley.
See this image and copyright information in PMC

References

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