title: [A rare case of tubercular tenosynovitis in hospital surgeon as a result of an occupational accident caused by puncture with an infected needle. Prevention aspects and legal-medical evaluation].
abstract: BACKGROUND
  The subject was a hospital surgeon who, in the course of routine outpatient surgery with aspiration to collect right lumbar material in a patient with suspected TB infection, accidentally punctured the fifth finger of the left hand with the needle used for this procedure. This led to involvement of the fifth finger of the left hand restricted to the soft tissue with preservation of joint and bone and tenosynovial involvement of the entire extremity.
  
  
  OBJECTIVE
  To draw attention to the repercussions for insurance with resulting absence from work for 126 days and an assessment of biological impairment of 2% by the Insurance Institute (INAIL).
  
  
  METHODS
  A case report is described of rare occupational tubercular synovitis.
  
  
  CONCLUSIONS
  A rare event is reported that occurred in a senior staff member with particular insurance repercussions.
authors.affiliation: Centro Medico Legale I.N.A.I.L. Piemonte, sede di Ivrea, TO.
authors.forename: R
authors.initials: R
authors.lastname: Delli Carri
authors.forename: Paola
authors.initials: P
authors.lastname: Piscozzi
authors.forename: M
authors.initials: M
authors.lastname: Massimelli
authors.forename: R
authors.initials: R
authors.lastname: Falcetta
mesh_terms: D000062:Accidents, Occupational / Q000331:legislation & jurisprudence / Q000517:prevention & control; D013502:General Surgery; D006230:Hand Injuries / Q000382:microbiology*; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000331:legislation & jurisprudence / Q000517:prevention & control; D007558:Italy; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D016602:Needlestick Injuries / Q000150:complications* / Q000382:microbiology / Q000517:prevention & control; D012308:Risk Management; D018582:Sick Leave / Q000331:legislation & jurisprudence; D013129:Spinal Puncture; D013717:Tenosynovitis / Q000209:etiology*; D014394:Tuberculosis, Osteoarticular / Q000209:etiology / Q000635:transmission*; D014942:Workers' Compensation / Q000331:legislation & jurisprudence; D014946:Wound Infection / Q000382:microbiology*