ePlasty: Vol. 20
CASE REPORT
Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome
Zachary S. Gala, BSE, Haripriya Ayyala, MD, Stephen L. Viviano, MD, and Ashley Ignatiuk, MD, MSc, FRCSC

Department of Surgery, Division of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark


Correspondence: zg60@njms.rutgers.edu
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*SPY Elite is a registered trademark of Stryker Corporation, Kalamazoo, Mich.
Keywords: hypothenar hammer syndrome, lateral femoral circumflex artery (LCFA) graft, ulnar artery thrombosis, intraoperative SPY, intraoperative ICG

Introduction: Hypothenar Hammer syndrome refers to thrombosis/aneurysm of ulnar artery at Guyon's canal in wrist, with resultant arterial insufficiency in the ulnar artery distribution.1 Patients typically describe unilateral symptoms in the fourth and/or fifth fingers of the hand. Symptoms can range from as .......