Self-inflicted hand injuries: diagnostic challenge and treatment.
Self-inflicted injuries are probably more common than is generally appreciated. Three patients with self-inflicted hand injuries are described. A delay in making the correct diagnosis resulted in severe hand disability in 2 of the patients. Early diagnosis of this entity, combined with prompt psychotherapy, prevented disability in the third. The pertinent literature is reviewed and the importance of early diagnosis and psychotherapy is stressed.
Friedman
B
B
Hand Surgery Unit, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Yaffe
B
B
Blankstein
A
A
Rubinstein
E
E
Rieck
J
J
D000293:Adolescent; D000328:Adult; D005162:Factitious Disorders / Q000175:diagnosis*; D005260:Female; D006230:Hand Injuries / Q000209:etiology* / Q000523:psychology; D006801:Humans; D007239:Infections / Q000209:etiology / Q000523:psychology / Q000628:therapy; D008297:Male; D012652:Self Mutilation / Q000175:diagnosis* / Q000523:psychology; D012883:Skin Ulcer / Q000209:etiology / Q000523:psychology / Q000628:therapy