title: [Fifty years of plastic surgery in the Netherlands. I. Seemingly minor accidents: major hand injuries].
abstract: In patients with hand injury, careful clinical examination is necessary, even in cases of seemingly trivial lesions such as small puncture wounds. Four patients, two women aged 18 and 51 years and two men aged 16 and 28 years, presented with a small volar cut caused by a glass fragment (three patients) and a saw. They suffered from loss of motor function, loss of sensibility or loss of circulation in one finger. They were treated by plastic surgery. Lesions of tendons and peripheral nerves can be diagnosed by relatively simple tests. It is important to recognize them at an early stage because adequate treatment may result in recovery of the sensibility and the motor function. Even a 'dead' finger may be salvaged.
authors.affiliation: Medisch Spectrum Twente, afd. Plastische Chirurgie, Enschede.
authors.forename: C A
authors.initials: CA
authors.lastname: Oostrom
authors.forename: P
authors.initials: P
authors.lastname: Houpt
mesh_terms: D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005383:Finger Injuries / Q000145:classification / Q000175:diagnosis* / Q000601:surgery*; D006230:Hand Injuries / Q000145:classification* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016067:Nerve Transfer / Q000379:methods; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery; D018583:Pliability; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods*; D013708:Tendon Injuries / Q000175:diagnosis* / Q000601:surgery; D013709:Tendon Transfer / Q000379:methods
vernacular_title: Vijftig jaar plastische chirurgie in Nederland. I. Ogenschijnlijk kleine ongevallen: grote handletsels.