High-pressure Injection Injuries to the Upper Extremity: A Review of the Literature

Hogan, Christopher; Ruland, Robert T.

doi:10.1097/00005131-200608000-00010

Cited by 114 publications

(204 citation statements)

References 92 publications

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“…6,7 In a review of high-pressure injection injuries of a foreign material into the body, the cause of delayed symptoms is described as arising from the combination of the additional volume and evolving inflammatory response because of the presence of a foreign substance. 8 These factors may help account for the delayed onset of symptoms in our patient.…”

Section: Discussionmentioning

confidence: 78%

Spinal Epidural Lubricant Grease Collection Mimicking Traumatic Spinal Epidural Hematoma

Kalnins¹,

Geryk²,

Olivero³

et al. 2009

AJNR Am J Neuroradiol

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SUMMARY:We report an unusual case of a patient with an epidural fluid collection with signal characteristics mimicking an epidural hematoma. The patient presented with myelopathy caused by thoracic spinal cord compression after a traumatic injury to the chest and back. The injury was caused by high-pressure injection of industrial-grade lubricant grease. This case demonstrates that cord compression can be caused by exogenous material in the setting of trauma that can mimic an acute epidural hematoma.

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Section: Discussionmentioning

confidence: 78%

Spinal Epidural Lubricant Grease Collection Mimicking Traumatic Spinal Epidural Hematoma

Kalnins¹,

Geryk²,

Olivero³

et al. 2009

AJNR Am J Neuroradiol

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“…These confounding variables in addition to the low level of published evidence make it difficult to identify the potential Figure 6 Pulp digital atrophy was seen as complication in most patients. role of steroids in paint-gun injuries [2,5,9]. We have not utilized steroids in the management of our patients and are unable to find sufficient evidence to support or propose their use in this injury.…”

Section: Discussionmentioning

confidence: 90%

“…Subsequently, paint-gun injury has been reported as case reports or as a part of series or reviews of high-pressure injuries in general [9]. In an overview of injection injuries, Hogan and Ruland noted that there were 345 published cases of high-pressure injection injuries in the upper extremity [9]. Of these, 169 were caused by a paint-gun; paint was the injected material in 140 cases and paint thinner was injected in the remaining 29 [4,7,14,15,20,24,28,29,30,31,32].…”

Section: Discussionmentioning

confidence: 99%

Latex Paint-gun Injuries of the Hand: Are the Outcomes Better?

Lozano-Calderón

Mudgal

et al. 2008

Hand (New York, N,Y.)

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This study aims to present the functional outcome in patients who sustained paint-gun injuries to the hand with latex paint and review the current trends, recommendations, and pitfalls of surgical treatment in contemporary literature. Five male patients with an average age of 35 years were treated between 2000 and 2003 after sustaining a paint-gun injury with latex paint. All wounds were located volarly on the digits of the nondominant hand. Preoperative radiographs were obtained in every patient. All patients underwent debridement of the affected digit. Despite delayed presentation, more than 24 h post injury, our patients recovered substantial function at an average follow-up of 12 months. Every patient returned to his previous occupation and there were no amputations. Paint-gun injuries with latex paint appear to be associated with an outcome that is superior to the poor outcome traditionally associated with oil-based paints.

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“…Die Schwere des Gewebetraumas ist schwierig einzuschätzen, da diese Verletzungen recht selten sind und der Druck (600-280.000 kPa), die Toxizität sowie das Volumen der injizierten Flüssigkeit der Hochdruckspritze stark variieren kön-nen. Bereits 700 kPa sind ausreichend, um den Hautmantel zu durchdringen [21].…”

Section: Hochdruckinjektionsverletzungenunclassified

“…Dennoch gehen diese Verletzungen mit einer Amputationsrate von 19% [21] bis 88% [2] einher, wobei die Injektion von Lösungsmitteln, Hydraulikflüssigkeit, Benzinen oder Ölen mit einer schlechten Prognose assoziiert ist.…”

Section: Hochdruckinjektionsverletzungenunclassified