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. , SACRAMENTO, CALIFORNIA
Investigation performed at the Division of Hand Surgery, Department of Orthopaedic Surgery, University of California, Davis Medical Center, Sacramento
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Introduction
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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.
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Case Report
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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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