main de toupie aspect medico legal

The hand is frequently exposed to professional risks. It is offen the target of accident during non protected work on a topia and many complex and grave lesions can be caused. The authors report a serie of 280 cases of topary hand treated in private and hospital sectors. The purpose of our work is is on the hand to insist on the frequency of topiary work accidents and on the other hand to make people of the importance of applying preventive measures in orde to protect man by reducing professional risks

Anomalie musculaire et syndrome canalaire

There are tunnels syndromes secondary to a congestion of the tunnel by supernumerary muscles. We report 4 cases of carpal tunnel syndrome represented by a high insertion of a lombrical muscle, a supernumerary lombrical muscle, and two cases of an accessory palmaris longus. At the level of the tarsal tunnel, it was about a low muscular insertion of the tibialis posterior. Diagnosis can be suspected by specific operations and the treatment consists of the elimination of these "intruders" associated to neurolysis. Problem is to know if the supernumerary muscle is the cause or a simple witness of this canalar syndrome