NDLI: Teeth syndrome: diagnosis, complications and management.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sbai, Mohamed Ali Benzarti, Sofien Boussen, Monia Maalla, Riadh
Description	Country affiliation: Tunisia Author Affiliation: Sbai MA ( Orthopedic Surgery and Trauma Department, Maamouri Hospital, Nabeul, Tunisia.); Benzarti S ( Orthopedic Surgery and Trauma Department, Maamouri Hospital, Nabeul, Tunisia.); Boussen M ( Emergency Department, Mongi Slim Hospital, Tunis, Tunisia.); Maalla R ( Plastic surgery Department, La Rabta Hospital, Tunis, Tunisia.)
Abstract	Teeth syndrome or fight bite is a specific entity in hand surgery that is little known. It includes infectious complications of the hand following a fist against the teeth. Neglected or misdiagnosed this injury frequently leads to serious complications that could compromise the function of the hand. A retrospective study was performed on 20 patients treated for teeth syndrome at our department, during a period of 12 years (January 2003 to April 2015). All young adults with a mean age of 28 years and a significant male predominance. The dominant side was involved in 15 patients. Lesions were divided into 4 cases of simple dorsal wounds facing the MP joint, 8 cases of dorsal hand cellulitis, and 8 cases of arthritis and osteoarthritis of the metacarpophalangeal (MP) joint of the long fingers. The index was the most affected finger. Treatment consisted in debridement of necrotic tissues, stabilization with external fixation for arthritis, skin reconstruction was performed secondarily. Result was assessed as good in 60% of cases. Clenched fist injuries to the mouth (teeth syndrome or fight bite) are known as being the worst human bites. Usually treated as minor injuries, without realizing a breach of the joint capsule, a lesion of the extensor tendon, or a contamination by oral flora. Any patient with a wound near the joint of the hand and was involved in a fight, need an appropriate evaluation and a specialized treatment to avoid serious complications.
File Format	HTM / HTML
e-ISSN	19378688
DOI	10.11604/pamj.2015.22.71.7313
Journal	Pan African Medical Journal
Volume Number	22
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2015-01-01
Publisher Place	Uganda
Access Restriction	Open
Subject Keyword	Discipline Medicine Bites, Human Complications Finger Injuries Etiology Hand Injuries Adolescent Arthritis Diagnosis Therapy Cellulitis Debridement Necrosis Osteoarthritis Retrospective Studies Skin Pathology
Content Type	Text
Resource Type	Article

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