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- W1975979890 abstract "Keywords Crackhands.Fingertipburns.Handsurgery.CrackuserIntroductionCocaine comes in two forms, hydrochloride (white power)and freebase (crack). “Crack” is the street name given tococaine made by the combination of the hydrochloride andalkali (sodium bicarbonate or ammonium) [1]. Some crack-cocaine users develop changes in the appearance of theirhands caused by the heat of the glass cocaine pipe [2]. Thepresence of burns and blackened hyperkeratotic lesions,mostly on the dominant hand or digits, have led to the term“crack hands” [3]. We present a case report of a patient witha chronic boutonniere deformity in the fifth finger andsuperficial burns on the tips of the thumb, second and thirdfingers.Case ReportA 21-year-old man was admitted to the hospital for surgeryto correct chronic botounniere deformity of the fifth fingerof the right hand.During the entrance exam, burns on the tips of the thumbindex and middle fingers (Fig. 1) were observed. Immedi-ately, it was thought that those were thermal burns fromlighting a crack cocaine pipe. The patient was asked if hewas using crack and he denied it. As the lesions were notacute, the surgery was performed without complicationsduring anaesthesia.During the surgical repair, the central band of the exten-sor hood was reattached in to the base of the media phalanxwith a mini-anchor. The PIP joint was fixed in full extensionwith a transarticular Kirschner wire. The patient wasinformedoftheimportanceofmaintainingthePIPinapropersplint for the designated amount of time following repair.During the second week after the operation, a pin tract infec-tionappeared.Itwastreatedwithoralantibioticsandremotionof the Kirschner wire. The splint was sustained for 6 weeks.The patient performed hand therapy irregularly. After 1 year,the finger was painful and with loss of digital motion in aflexion deformity.DiscussionCocaine is a central nervous system stimulant extracted fromErythroxylumcocaleaves.Free-basecocaineispreparedfrom" @default.
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- W1975979890 date "2016-09-05" @default.
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- W1975979890 title "Hand Surgery and the Crack-Cocaine User. A Case Report" @default.
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- W1975979890 doi "https://doi.org/10.1007/s12593-011-0056-5" @default.
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