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The Journal of Bone and Joint Surgery 78:1089-91 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Pseudoaneurysm of the Superficial Palmar Arch. A Case Report*

WILLIAM I. STERETT, M.D.{dagger}, SACRAMENTO, CALIFORNIA

Investigation performed at the Division of Hand Surgery, Department of Orthopaedic Surgery, University of California, Davis Medical Center, Sacramento


    Introduction
 
Pseudoaneurysms involving the upper extremity are uncommon but, when they do occur, they invariably follow a penetrating injury. Although the palm is a common site of laceration, I am aware of only one case in the literature of a pseudoaneurysm involving the superficial palmar arch following a penetrating injury9. The present report describes the case of an additional patient who had a pseudoaneurysm of the superficial palmar arch. The lesion presented with an episode of massive hemorrhage.


    Case Report
 
A thirty-seven-year-old man, who was unemployed, sustained a puncture wound to the ulnar aspect of the palm of the right, non-dominant hand while cleaning a glass-faced clock. Active arterial bleeding persisted despite direct pressure on the wound, a compressive dressing, and local exploration by the emergency-room physician performed under tourniquet control. The patient was therefore taken to the operating room. The preoperative hematocrit was 0.39. After the induction of general endotracheal anesthesia, . . . [Full Text of this Article]


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