SlideShare une entreprise Scribd logo
1  sur  67
Hand Trauma Prepared by: Dr. Ahmed Mirza Shammasi  2031040009 Surgical Intern - KFU – Saudi Arabia
Outlines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Anatomy Presentation and Management
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms of Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Approach to Hand Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Approach to Hand Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Approach to Hand Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CUTANEOUS INJURIES ,[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TENDON INJURIES ,[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Extensor Function Interphalangeal joints
Presentation Extensor injury ,[object Object],[object Object]
Presentation Extensor injury
Management Zone Presentation Management I Mallet’s Deformity ,[object Object],[object Object],III Boutonniere’s Deformity ,[object Object],[object Object],V Fixed flexion of MCP ,[object Object],[object Object],VII Fixed flexion of MCP ,[object Object]
Presentation Flexor injury ,[object Object],[object Object]
Presentation Flexor injury Zone Presentation Management I Loss of active flexion at DIP joint Hyperextension of DIP joint ,[object Object],[object Object],II Loss of active flexion at MCP joint ,[object Object],[object Object],III, IV Thumb Same ,[object Object],[object Object]
Presentation Flexor injury Zone Presentation Management V Palm Uncommon Lie deep and protected by palmar fascia Same presentation ,[object Object],[object Object],VI, VII Wrist Multiple flexor tendon injury Impaired active flexion of multiple digits ,[object Object],[object Object],[object Object]
NERVE INJURIES ,[object Object],[object Object],[object Object]
Anatomy
Anatomy
Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Presentation
Presentation
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BONE INJURIES ,[object Object],[object Object],[object Object]
Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carpal Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carpal Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metacarpal Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thumb Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bennett’s Rolando’s
Phalangeal Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phalangeal Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phalangeal Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AMPUTATION AND REPLANTATION
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object]
Outcome ,[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object]

Contenu connexe

Tendances (20)

Flexor and extensor tendon injury
Flexor and extensor tendon injuryFlexor and extensor tendon injury
Flexor and extensor tendon injury
 
Hand injuries
Hand injuriesHand injuries
Hand injuries
 
Tendon injuries of hand
Tendon injuries of handTendon injuries of hand
Tendon injuries of hand
 
Metacarpal fractures
Metacarpal fracturesMetacarpal fractures
Metacarpal fractures
 
Finger tip injuries
Finger tip injuriesFinger tip injuries
Finger tip injuries
 
Hand infections
Hand infectionsHand infections
Hand infections
 
MEDIAN NERVE PALSY AND TENDON TRANSFERS
MEDIAN NERVE PALSY AND TENDON TRANSFERSMEDIAN NERVE PALSY AND TENDON TRANSFERS
MEDIAN NERVE PALSY AND TENDON TRANSFERS
 
Hand injuries
Hand injuriesHand injuries
Hand injuries
 
Management of hand injuries
Management of hand injuries Management of hand injuries
Management of hand injuries
 
Extensor tendon injuries
Extensor tendon injuriesExtensor tendon injuries
Extensor tendon injuries
 
Hand infections
Hand infectionsHand infections
Hand infections
 
Fractures and dislocations of hand
Fractures and dislocations of handFractures and dislocations of hand
Fractures and dislocations of hand
 
Common hand injuries
Common hand injuriesCommon hand injuries
Common hand injuries
 
Clavicle fracture and its management
Clavicle fracture and its management Clavicle fracture and its management
Clavicle fracture and its management
 
Tendon repair
Tendon repairTendon repair
Tendon repair
 
Fracture of Upper Limb
Fracture of Upper LimbFracture of Upper Limb
Fracture of Upper Limb
 
Flexor tendon surgery
Flexor tendon surgeryFlexor tendon surgery
Flexor tendon surgery
 
Principles of management of volkmann’s contracture
Principles of management of volkmann’s contracturePrinciples of management of volkmann’s contracture
Principles of management of volkmann’s contracture
 
Phalangeal fractures of hand
Phalangeal fractures of handPhalangeal fractures of hand
Phalangeal fractures of hand
 
Susil seminar claw hand
Susil seminar claw handSusil seminar claw hand
Susil seminar claw hand
 

En vedette

En vedette (20)

Distal phalanx fracture
Distal phalanx fractureDistal phalanx fracture
Distal phalanx fracture
 
Flexor tendon injuries.m
Flexor tendon injuries.mFlexor tendon injuries.m
Flexor tendon injuries.m
 
Flexor and Extensor Tendon Laceration vs. Occupational Therapy
Flexor and Extensor Tendon Laceration vs. Occupational TherapyFlexor and Extensor Tendon Laceration vs. Occupational Therapy
Flexor and Extensor Tendon Laceration vs. Occupational Therapy
 
Hand Fractures and Dislocations
Hand Fractures and DislocationsHand Fractures and Dislocations
Hand Fractures and Dislocations
 
hand fractures
hand fractureshand fractures
hand fractures
 
Hand injury assessment
Hand injury assessmentHand injury assessment
Hand injury assessment
 
fractures of hand bones
fractures of hand bonesfractures of hand bones
fractures of hand bones
 
Tendon injuries of hand by Dr Saumya Agarwal
Tendon injuries of hand by Dr Saumya AgarwalTendon injuries of hand by Dr Saumya Agarwal
Tendon injuries of hand by Dr Saumya Agarwal
 
Principles of-tendon-transfers
Principles of-tendon-transfersPrinciples of-tendon-transfers
Principles of-tendon-transfers
 
Bone and Muscles of the Hand
Bone and Muscles of the HandBone and Muscles of the Hand
Bone and Muscles of the Hand
 
Post operative care
Post operative care Post operative care
Post operative care
 
Scapholunate dissociation (1)
Scapholunate dissociation (1)Scapholunate dissociation (1)
Scapholunate dissociation (1)
 
Thumb reconstruction
Thumb reconstructionThumb reconstruction
Thumb reconstruction
 
Triquetral Fracture
Triquetral FractureTriquetral Fracture
Triquetral Fracture
 
Phalanx Fracture
Phalanx FracturePhalanx Fracture
Phalanx Fracture
 
McClellan Innovator and BioEntrepreneur
McClellan Innovator and BioEntrepreneurMcClellan Innovator and BioEntrepreneur
McClellan Innovator and BioEntrepreneur
 
Hyperextension Injury
Hyperextension InjuryHyperextension Injury
Hyperextension Injury
 
Sports injuries wrist iaoc
Sports injuries wrist iaocSports injuries wrist iaoc
Sports injuries wrist iaoc
 
Treatment of bone metastases
Treatment of bone metastasesTreatment of bone metastases
Treatment of bone metastases
 
Managemaent of bone secondaries
Managemaent of bone secondariesManagemaent of bone secondaries
Managemaent of bone secondaries
 

Similaire à Hand Trauma

Management of hand injuries &
Management of hand injuries &Management of hand injuries &
Management of hand injuries &Makafui Yigah
 
CRUSH INJURIES OF THE HAND.ppt
CRUSH INJURIES OF THE HAND.pptCRUSH INJURIES OF THE HAND.ppt
CRUSH INJURIES OF THE HAND.pptAminaRajah1
 
CRUSH INJURIES OF THE HAND.ppt
CRUSH INJURIES OF THE HAND.pptCRUSH INJURIES OF THE HAND.ppt
CRUSH INJURIES OF THE HAND.pptAmina Rajah
 
OPEN FRACTURES.pptx
OPEN FRACTURES.pptxOPEN FRACTURES.pptx
OPEN FRACTURES.pptxLungaNdlovu2
 
tenorrhaphy ligament manus digitorum
tenorrhaphy ligament manus digitorum tenorrhaphy ligament manus digitorum
tenorrhaphy ligament manus digitorum Anggun Kharisma T
 
Extensorapparatusofhandinjuries
Extensorapparatusofhandinjuries Extensorapparatusofhandinjuries
Extensorapparatusofhandinjuries Dr. Mohit Sharma
 
Mangled upper extremity.pptx
Mangled upper extremity.pptxMangled upper extremity.pptx
Mangled upper extremity.pptxDrMoeezFatima
 
Hand rehabilitation following flexor tendon injuries
Hand rehabilitation following flexor tendon injuriesHand rehabilitation following flexor tendon injuries
Hand rehabilitation following flexor tendon injuriesAbey P Rajan
 
Upper limb fractures (part2)
Upper limb fractures (part2)Upper limb fractures (part2)
Upper limb fractures (part2)Apoorv Jain
 
Fracture of shaft and distal part of Femoral bone by Dr. Ammar Alsabae
Fracture of shaft and distal part  of Femoral bone by Dr. Ammar AlsabaeFracture of shaft and distal part  of Femoral bone by Dr. Ammar Alsabae
Fracture of shaft and distal part of Femoral bone by Dr. Ammar AlsabaeAmmar Alsbae
 
Spinal Cord Injury (SCI)
Spinal Cord Injury (SCI)Spinal Cord Injury (SCI)
Spinal Cord Injury (SCI)Abhay Rajpoot
 
Misc. affections of soft tissue
Misc. affections of soft tissueMisc. affections of soft tissue
Misc. affections of soft tissueDr. Anshu Sharma
 
Mangled extremity
Mangled extremityMangled extremity
Mangled extremityRohit Vikas
 
4. Hand Injury Manageme bbbbnt 2021.pptx
4. Hand Injury Manageme bbbbnt 2021.pptx4. Hand Injury Manageme bbbbnt 2021.pptx
4. Hand Injury Manageme bbbbnt 2021.pptxmekuriatadesse
 
4. Hand Injury Management 2gggggg021.pptx
4. Hand Injury Management 2gggggg021.pptx4. Hand Injury Management 2gggggg021.pptx
4. Hand Injury Management 2gggggg021.pptxmekuriatadesse
 

Similaire à Hand Trauma (20)

HandTrauma-1_0.pptx
HandTrauma-1_0.pptxHandTrauma-1_0.pptx
HandTrauma-1_0.pptx
 
Management of hand injuries &
Management of hand injuries &Management of hand injuries &
Management of hand injuries &
 
CRUSH INJURIES OF THE HAND.ppt
CRUSH INJURIES OF THE HAND.pptCRUSH INJURIES OF THE HAND.ppt
CRUSH INJURIES OF THE HAND.ppt
 
CRUSH INJURIES OF THE HAND.ppt
CRUSH INJURIES OF THE HAND.pptCRUSH INJURIES OF THE HAND.ppt
CRUSH INJURIES OF THE HAND.ppt
 
OPEN FRACTURES.pptx
OPEN FRACTURES.pptxOPEN FRACTURES.pptx
OPEN FRACTURES.pptx
 
Joint dislocation
Joint dislocationJoint dislocation
Joint dislocation
 
tenorrhaphy ligament manus digitorum
tenorrhaphy ligament manus digitorum tenorrhaphy ligament manus digitorum
tenorrhaphy ligament manus digitorum
 
extensor ligament
extensor ligament extensor ligament
extensor ligament
 
Extensorapparatusofhandinjuries
Extensorapparatusofhandinjuries Extensorapparatusofhandinjuries
Extensorapparatusofhandinjuries
 
Mangled upper extremity.pptx
Mangled upper extremity.pptxMangled upper extremity.pptx
Mangled upper extremity.pptx
 
Hand rehabilitation following flexor tendon injuries
Hand rehabilitation following flexor tendon injuriesHand rehabilitation following flexor tendon injuries
Hand rehabilitation following flexor tendon injuries
 
Upper limb fractures (part2)
Upper limb fractures (part2)Upper limb fractures (part2)
Upper limb fractures (part2)
 
Fracture of shaft and distal part of Femoral bone by Dr. Ammar Alsabae
Fracture of shaft and distal part  of Femoral bone by Dr. Ammar AlsabaeFracture of shaft and distal part  of Femoral bone by Dr. Ammar Alsabae
Fracture of shaft and distal part of Femoral bone by Dr. Ammar Alsabae
 
Spinal Cord Injury (SCI)
Spinal Cord Injury (SCI)Spinal Cord Injury (SCI)
Spinal Cord Injury (SCI)
 
Misc. affections of soft tissue
Misc. affections of soft tissueMisc. affections of soft tissue
Misc. affections of soft tissue
 
Mangled extremity
Mangled extremityMangled extremity
Mangled extremity
 
Amputation notes
Amputation notesAmputation notes
Amputation notes
 
FRACTURE.pptx
FRACTURE.pptxFRACTURE.pptx
FRACTURE.pptx
 
4. Hand Injury Manageme bbbbnt 2021.pptx
4. Hand Injury Manageme bbbbnt 2021.pptx4. Hand Injury Manageme bbbbnt 2021.pptx
4. Hand Injury Manageme bbbbnt 2021.pptx
 
4. Hand Injury Management 2gggggg021.pptx
4. Hand Injury Management 2gggggg021.pptx4. Hand Injury Management 2gggggg021.pptx
4. Hand Injury Management 2gggggg021.pptx
 

Dernier

7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...GENUINE ESCORT AGENCY
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...Sheetaleventcompany
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Sheetaleventcompany
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...Sheetaleventcompany
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...TanyaAhuja34
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan 087776558899
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Sheetaleventcompany
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Janvi Singh
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Sheetaleventcompany
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...call girls hydrabad
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Sheetaleventcompany
 

Dernier (20)

7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 

Hand Trauma