Functional Outcome of High-Pressure Injection Injuries of the Hand

Christodoulou, L.; Melikyan, Erman; Woodbridge, Sarah; Burke, F. D.

doi:10.1097/00005373-200104000-00020

Cited by 52 publications

(42 citation statements)

References 12 publications

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“…The non-dominant hand and index finger are at a higher risk to be injured (2,6,7). This was true with our patients, where the index finger of the non-dominant hand was involved most of the time.…”

Section: Discussionsupporting

confidence: 64%

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High-Pressure Injection Injuries to the Hand

et al. 2016

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Background: High-pressure injections into the hand, burden devastating and permanent functional impairments. Many materials including paint, paint thinner, gasoline, oil and grease are reported as the causative agents. These injuries need multiple procedures and reconstructions most of the time and 40% of the injuries may end with amputation of the injured part. Objectives: The aim of this study was to report the treatment outcomes and methods of treatments of patients with high-pressure injection injuries of the hand. Methods: We retrospectively reviewed the medical records, imaging files and demographic data of patients, who were treated at our center due to the high-pressure injuries to their hands. We recorded the kind of the injected materials, time to the first treatment procedure, times of operation, and methods of their treatments. The outcomes of the injuries as well as the deficiency of the digital joints motion were also reported. Results: Nine cases with high-pressure injury of the hand were enrolled in this study. All patients were male with mean age of 26.88

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Section: Discussionsupporting

confidence: 64%

“…The injection pressure is the prognostic factor. Higher pressure results in more intense and severe damage and necrosis (6,7). Volume of the injected material and also the site of injection are important in dictating the prognosis.…”

Section: Discussionmentioning

confidence: 99%

High-Pressure Injection Injuries to the Hand

et al. 2016

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“…Injections with water, air or small quantities of veterinary vaccine only cause little damage and frequently have a good outcome, even without surgical intervention [2,12,10,19]. Paints and solvents are more irritating substances and have larger cytolytic properties than water, some oils or greases.…”

Section: Prognostic Influencing Factorsmentioning

confidence: 99%

“…Paints and solvents are more irritating substances and have larger cytolytic properties than water, some oils or greases. That is the reason why they also have a worse outcome than other fluids [17,19,20]. Solvents have a lower viscosity compared to paints and as a consequence a faster distribution along the tissues is apparent [21].…”

Section: Prognostic Influencing Factorsmentioning

confidence: 99%

“…According to Christodoulou et al this time factor is not always the most important variable. They state that the eventual prognosis is influenced by different factors and the prognosis of patients with an injection under very high pressure and with very toxic material is as bad as the prognosis of those people that are treated only after 10 h with a less detrimental injection [19].…”

Section: Prognostic Influencing Factorsmentioning

confidence: 99%

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High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature

Verhoeven

Hierner

2008

Strategies in Trauma and Limb Reconstruction

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The real extent of damage in high-pressure injection injuries (grease gun injuries, paint gun injuries, pressure gun in juries) is hidden behind a small and frequently painless punctiform skin lesion on the finger or the hand. These kinds of injuries require prompt surgical intervention with surgical debridement of all ischemic tissue. Possibility of a general intoxication by the fluid must always be ruled out. Postoperative intensive physiotherapy is essential for the final hand function. The initial benign aspect is frequently causing a delay for an adequate treatment while in the mean time the possibility for subcutaneous damage continuously increases. Because of this delay the chance of permanent reduced functionality in the hand or finger amputation raises. Not only the latency time to adequate treatment but also the injected fluid's nature, the pressure, the volume and the location of injection, has influence on the seriousness and extensiveness of subcutaneous damage. All these factors influence the functional outcome of the patient.

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Adverse Reactions in Humans Following Exposure to Veterinary Drugs

Woodward¹

2009

Veterinary Pharmacovigilance

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Functional Outcome of High-Pressure Injection Injuries of the Hand

Abstract: Deterioration of hand function is a predictable outcome of HPI injury. This information should be shared with the patient at the outset so as to avoid subsequent disappointment.

Cited by 52 publications

References 12 publications

High-Pressure Injection Injuries to the Hand

High-Pressure Injection Injuries to the Hand

High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature

Adverse Reactions in Humans Following Exposure to Veterinary Drugs

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