Functioning of the patient after four-finger amputation in his dominant hand due to necrosis caused by a streptococcal infection: a case report.

A case of a 40-year-old patient who presented to the clinic due to carpal tunnel syndrome of the left hand was presented. Four years earlier, the same patient underwent four-finger amputation of his right dominant hand due to fulminant necrosis caused by Streptococcus pyogenes infection. Descriptive history and the results of examination indicated that the patient adapted very good to significant disability of the hand. He had no constant pain, but only when the weather changed, which he rated at 3-4 points on the Numeric Rank Scale. The hand function examined by the DASH questionnaire showed a significant impairment - 42 points, but the patient declared that he functioned well in everyday life and even found a permanent job in a security company.