Occlusive symptoms include pain, cold intolerance, and numbness. The diagnosis rests on evaluating the patency of the palmar arches.
Conservative treatment involves rest, tobacco avoidance, and medications.
Patients who have severe arterial compromise require resection and reconstruction. The following case report describes a collegiate baseball player who developed circulatory compromise of the hand after he changed his grip on the bat. Case Report History. During the next 4 weeks, practice and games traumatized the fingertip, and an open ulcer and infection developed. To accommodate the discomfort, the player adjusted his bat grip by holding his injured finger off the bat.