[ sacrified of sacrifice day]

This prospective study was carried out in the plastic and reconstructive surgery department of Kassab's hospital in Tunis and the hospital of Monastir [Tunisa] during the sacrifice day [Aid el kebir]. The study involved 50 patients. Our purpose was to identify the injuries of the hand occurring during this religions festival. The average age of patients was 39 years with sex ratio of 1.17. All socials and occupational sectors were affected. The lesions concern the dorsal face of non dominant hand [72%] with a peak in the frequency for the thumb [40%] and the index [37%]. Extensor system of the radial finger on the non dominant hand was the main delicate element which is most exposed during such festival. The thumb is being worthy of special mention, for it is the most serious lesions [amputation 10%]. The lesions of flexor tendons are generally associated with nerve and vascular injury. 46% of patients had to undergo surgery

Pathomimie au membre superieur

Pathomimia,or factitious disorders, are characterized by producing symptoms voluntarily with the intention of playing the role of the patient. Inspite of being considered as a psychiatric disorder, pathomimia is often encountered in the daily professional life of doctors without being recognized or diagnosed. There are various clinical aspects of pathomimia. The items that decide the orientation of the diagnosis are essentially the uncommon and odd expression of the reported symptoms. A capricious evolution as well as the multiplicity of the past medical cases. We report a group of five patients who were followed and treated between the years 2000 and 2003. This group was composed of three men and two women with an average age of 30 years. In three cases, we found the notion of skin injury. In one case, we noted a median nerve lesion in the elbow and once in the right upper member. The evolution was performed towards recidives of the initial symptomatology with more or less long periods of improvements

[About a short series of Swanson arthroplasty]

The authors report a series of 12 patients who underwent digital arthroplasty using a Swanson implant. Six patients had the sequellae of an injured hand, and the other six patients had rheumatoid arthritis. The majority of patients were men with an average age of 33 years. The patients were examined again about 4 years later on average. The lateral stability of the operated finger was considered to be satisfactory in 11 cases. The mean movement gain was 40. There was no sign of silicone particle synovitis, because it was fixed arthroplasty