Severe hand trauma with damage to the myotendinous structure in the hypothenar eminence and the neurovascular bundle

The human hand is a unique tool, without which daily life is impossible. Violation of internal structures integrity leads to disturbance of connections and to functional impairments. Injuries, genetic diseases, infections – all these are but a few among many causes of pathology development. Mechanical damage occupies a separate place in this classification since damage is suffered by several structures. Statistically, the damage to internal components of the hand ranges from 1.9% to 18.8%. A clinical case describing observation of a patient with severe hand injury with damage to flexor tendons of the fingers, muscles of the hypothenar and violation of neurovascular bundle integrity obtained by the profiled sheeting is presented. The tactics of surgical treatment is subdivided into the general and the special ones. The general tactics consists in primary surgical treatment of the wound, the special one is decided upon drawing on the intraoperative data. Unfortunately, it was not possible to obtain data of long-term outcomes since the communication with the patient was lost. The case described below demonstrates the need to perform these surgical interventions on an emergency basis and improve knowledge in the field of hand surgery.