[ 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

agenesies centrales de la main

Central aplasia represent under 10% of congenital malformations of the hand. It is characterized by the partial or complete absence of the median ray. We adopted the classification of swanson and considered this anomaly a stop of median longitudinal development. We separate 2 groups: hand in folk: the aplasia interested only the median digits, all metacarpal are present. Hand in lobster's pincer: all median rays are absent including the metacarpal. We report a set of 16 children carriers of 23 central aplasia of the hand, it was about 14 hands in lobster pincer and 9 hands in folk. In any case, the gene was merely aesthetic, the hand's function was complete. A child has been operated, and benefitted a closing of the median crack defect, he had a free thumb. For the other cases, abstention has been decided indeed to close this cracks deprive these hands of a first corner the alone present

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