Goto Chockstone Home

  Tech Tips

      Sponsored By

Chockstone Photography
Australian Landscape Photography by Michael Boniwell
Australian Landscape Prints

Chockstone Forum - Accidents & Injuries

Report Accidents and Injuries

Ulnar artery thrombosis

7:21:40 AM
Just wondering if anyone’s had any experience with ulnar artery thrombosis (basically, a painful blood clot that develops in the palm of your hand as a result of trauma)? Also known as ‘hypothenar hammer syndrome’, ‘posttraumatic digital ischemia’, and ‘pneumatic tool disease’. Having recently been diagnosed with this after experiencing increasing weakness, pain and paresthesia in my left hand (associated with a tense/tender lump in my palm), I’m surprised to find no mention of it in relation to climbing (at least, not on the internet). The aetiology suggests it’s the kind of thing we should see more of in climbers. From an article in Acta Orthopaedica Scandinavica:

“The reason why thrombi and aneurysms form in this part of the ulnar artery is presumedly because the artery in this area is especially exposed to trauma. It may be a question of repeated minor trauma, as in monotonous work, with consequent pressure of this segment of the ulnar artery against the deeper structures (e.g. working with pneumatic tools, gear shifts etc.). Or, it may be a question of a more acute, heavy trauma […]. Since such trauma is very common, it seems strange that the disease does not occur more often. The explanation might be that the relationship to trauma is not so precise, or that the disease is more common than supposed and that it is often misdiagnosed.”

In my case, my symptoms date back to a fairly decent accident I had in 2015, but sharply increased two months ago after repeated falls on a route that ended with me bashing my palm against the rock. Given that this is a fairly common phenomena in rock climbing (especially sport climbing where repeated pendulum-esque falls are pretty much par for the course), I’m interested to hear if anyone else has any experience of it?

My suspicion is that it actually occurs in climbers with some degree of regularity but is misdiagnosed or even ignored (the symptoms can vary significantly in intensity). Every article I’ve read highlights the fact that it frequently goes unrecognised (in my case, my symptoms pointed to a break of the hook of hamate, but x-rays said nix; CT scan showed oedema and deformity of the HoH, but nothing conclusive; it was finally picked up through ultrasound).


5:52:07 PM
I don't know if it's the same specific condition, however an old workmate of mine suffered from something similar after innocuously hitting something into place with his hand. It gave him quite a deal of pain and in the end required surgery to fix if I recall correctly.

Some time after that he also experienced a bloodclot on the brain that nearly killed him... Hopefully the two incidents were not related.

There are 2 messages in this topic.


Home | Guide | Gallery | Tech Tips | Articles | Reviews | Dictionary | Forum | Links | About | Search
Chockstone Photography | Landscape Photography Australia | Australian Landscape Photography | Landscape Photos Australia

Please read the full disclaimer before using any information contained on these pages.

Australian Panoramic | Australian Coast | Australian Mountains | Australian Countryside | Australian Waterfalls | Australian Lakes | Australian Cities | Australian Macro | Australian Wildlife
Landscape Photo | Landscape Photography | Landscape Photography Australia | Fine Art Photography | Wilderness Photography | Nature Photo | Australian Landscape Photo | Stock Photography Australia | Landscape Photos | Panoramic Photos | Panoramic Photography Australia | Australian Landscape Photography | High Country Mountain Huts | Mothers Day Gifts | Gifts for Mothers Day | Mothers Day Gift Ideas | Ideas for Mothers Day | Wedding Gift Ideas | Christmas Gift Ideas | Fathers Day Gifts | Gifts for Fathers Day | Fathers Day Gift Ideas | Ideas for Fathers Day | Landscape Prints | Landscape Poster | Limited Edition Prints | Panoramic Photo | Buy Posters | Poster Prints