Chronic venous ulcers

Patients develop venous ulcers after sufferring from chronic venous hypertension over a period of time ( 8 to 10 years). The venous ulcers fail to heal and they also recur after healing. Patients also become indifferent to the treatments as they have seen failures more often than success with treatments. This patient had ulcer for more than 10 years. The skin around the ulcer is indurated and there are pale grannualtion tissues in the base of the ulcer.

Pulsatile swelling in the Hypothenar eminence

Traumatic(repeated) injury to the ulnar artery can result in aneurysm formation. The radial artery is patent and the palmar arch is also supplied by the radial artery. This patient is advised repair of the ulnar artery aneurysm under tourniquet.