A tennis player with hand claudication.

Détails

ID Serval
serval:BIB_9D2AF253403B
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
A tennis player with hand claudication.
Périodique
Vasa. Zeitschrift Für Gefässkrankheiten
Auteur⸱e⸱s
Noël B., Hayoz D.
ISSN
0301-1526 (Print)
ISSN-L
0301-1526
Statut éditorial
Publié
Date de publication
2000
Peer-reviewed
Oui
Volume
29
Numéro
2
Pages
151-153
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
The case of a professional tennis player presenting exercise-induced hand pain with late appearance of digital blanching is reported. A bilateral hypothenar hammer syndrome and stenosis of the common palmar digital arteries close to the head of the metacarpals where the racket handle exerts its maximal force was observed with arteriography. As the patient decided to stop tennis practice, the condition improved without any medication. Six months after stopping tennis he was symptom free. Three conclusions can be drawn from this case report: 1) arteries of both hands can be injured by intense tennis practice, 2) pain in the dominant hand during tennis practice can be due to arterial insufficiency even in the absence of digital blanching which is a sign of severity, 3) hypothenar hammer syndrome is the main cause but stenosis of the common palmar digital arteries can possibly contribute to the ischemic phenomenon. Early recognition is important to avoid ineffective treatment and permanent symptoms. Therefore, we recommend an arterial examination in tennis players suffering from exercise-induced hand pain even in the absence of digital blanching which can be only a late manifestation.
Mots-clé
Adult, Angiography, Fingers/blood supply, Hand/blood supply, Humans, Intermittent Claudication/diagnosis, Ischemia/diagnosis, Occupational Diseases/diagnosis, Tennis
Pubmed
Web of science
Création de la notice
17/01/2008 17:38
Dernière modification de la notice
20/08/2019 16:03
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