High-pressure Injection Injuries of the Hand

Hand injuries due to high‐pressure injection devices for painting in shipyards: Circumstances, management, and outcome in twelve patients

“…By contrast, when a toxic substance has been injected [Pai et al, 1991;Ebelin, 1994] chemical irritation of tissues [Pai et al, 1991], cell damage, further vasospasm, thrombosis and, frequently, bacterial superinfection occur [Peters, 1991]. The various substances contained in paint and solvents have an irritating, sensitizing, burning action on tissues.…”

“…The substance penetrates into the skin through a minute entry wound and rapidly spreads through the tissues. The resulting lesions, first described by Rees [1973], affect most often the index finger [Pai et al, 1991] of the hand that is not operating the apparatus (non-dominant hand). The generally tiny entry wound is too frequently underestimated [Mrvos et al, 1987;Ebelin, 1994;Stoffelen et al, 1994], as a result, many of these lesions evolve unfavorably [Mrvos et al, 1987;Peters, 1991] and may produce permanent functional impairment and disability.…”

Long-Term Follow-Up of High-Pressure Injection Injuries to the Hand

“…3,9 -11 Factors that are believed to influence the outcome include the nature of the injected substance, the amount injected, the pressure of the injection, the delay until treatment, and the presence of infection. 1,2,4,8,[12][13][14][15][16][17] The aim of this study was to assess the long-term functional and occupational outcome in patients hospitalized following high-pressure injection injury.…”

High pressure paint injection injury of the hand

“…It Paint injection injury of the hand has been suggested that the interval from injection to treatment is a determinant of results. 7 Once the diagnosis is suspected analgesia and broad-spectrum antibiotics should be given. Tetanus prophylaxis should be considered and the hand splinted and elevated.…”