Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
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Handchir Mikrochir Plast Chir · Sep 2001
[High-pressure injection injuries of the hand. Pathogenesis, problems and therapy].
Summary. High-pressure injection injuries are rare and the extent of tissue damage is often underestimated. They usually have devastating effects on tissues and result in poor functional outcome of the involved hand. ⋯ Reconstructive surgery is reserved for the late stage.43 patients were treated surgically in our department over the last 28 years (1972 to 2000). 12 of them (28 %) required amputation at different levels of the involved finger. Only nine patients healed without any functional loss. Most frequent injuries were of the paint or paint-solvent and grease-gun type.
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Handchir Mikrochir Plast Chir · Sep 2001
Case Reports[Coincidence of Lipoma and Liposarcoma of the Right Hand in an 84-Year-Old Patient: A Case Report].
Summary. We report the case of an 84-year-old patient presenting with a painless tumor between the thumb and the index finger. MRI showed a clearly defined tumor of the thenar eminence with a centrally localized more solid structure. ⋯ Histologically, we found a lipoma with a centrally localized liposarcoma. We discuss the rare case of malignant transformation of a lipoma. In long-standing large lipomas we suggest regular controls by MR imaging.