HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Search for Related Content Topic Collections Relevant Article

Swelling of volar aspect of the wrist

Q1: What is the diagnosis?
The diagnosis is pseudoaneurysm or false aneurysm of the radial artery. This is a leakage of the blood into the surrounding tissue with persistent communication between the artery and the blood filled cavity.

Q2: What are the differential diagnoses?
Haematoma, abscess, and true aneurysm mimic the pseudoaneurysm.

Q3: How do you treat this condition?
Uncomplicated cases are treated conservatively. They include (a) observation and compression bandage; (b) ultrasound guided compression; (c) ultrasound guided thrombin injection. Surgical intervention is reserved for complicated cases and patients who have failed conservative management.

Discussion
A pseudoaneurysm, is also referred to as false aneurysm. It is a leakage of blood from an artery into the surrounding tissue with persistent communication between the originating artery, and the terminating blood filled cavity. The arterial wall defect is referred to as the neck of the pseudoaneurysm. Unlike true arterial aneurysms, the three layers of the arterial wall do not bound pseudoaneurysms. The wall of the pseudoaneursym is composed of . . . [Full text of this article]

Relevant Article

Swelling of volar aspect of the wrist

R Gudena and N Khetan
Postgrad. Med. J. 2005 81: e9. [Extract] [Full Text] [PDF]