High-pressure injection injury of the finger

Abstract

The high-pressure injection injuries are unusual injuries and the extent of tissue damage is often under estimated. They represent potentially disabling forms of trauma and have disastrous effects on tissues if not treated promptly. We present a case of high pressure injection injury to the finger from lubricant oil. The patient presented late with necrosis of volar tissue of left index finger. The patient was aggressively managed in stages, with delayed flap cover, with satisfactory functional and aesthetic outcome.

High-pressure injection injury of the hand

“…It should involve extensive debridement and washing, trying to remove all the injected substance and necrotic tissues (Figure 2), decompression of the neurovascular structures and closure without tension (or delayed closure), using coverage with flaps before the exposure of tendinous and neurovascular structures. 8 Perioperative treatment requires adequate tetanus and antibiotic prophylaxis, combining a cefazolin and an amyglycoside, such as cefazolin and tobramycin. The use of corticosteroids (methylprednisolone) in a single dose in the emergency department is useful.…”

High Pressure Injection Injury of the Thumb. Case Study

“…Jed nocze śnie do cho dzi do na głe go wzro stu ci śnie nia śródt kan ko we go. Bły ska wicz ne roz prze strze nia nie się substan cji wzdłuż po wię zi, pęcz ków na czy nio wo -ner wowych i po che wek ścię gni stych po wo du je ucisk na naczy nia i ner wy oraz za bu rze nia ukrwie nia [1,2,6,7]. W na stęp nym eta pie do cho dzi do uszko dze nia chemicz ne go oraz sil nej re ak cji za pal nej wy wo ły wa nej przez sub stan cję ob cą [2].…”

“…Wcze sne roz po zna nie i wdro że nie od po wied nie go le cze nia jest bar dzo wa żne -opóź nie nie mo że skut ko wać znacznym de fi cy tem funk cji koń czy ny lub am pu ta cją [4]. Czę stość am pu ta cji po HPII wy no si 48% [7,9,10]. Wdro że nie le cze nia chi rur gicz ne go w cią gu pierw szych 10 go dzin zna czą co ob ni ża ten współ czyn nik [9].…”

Facial Injury With Pressurised Water: A Case Report

“…(4,5). Yüksek basınçlı maddelere bağlı yaralanmaların tanı, tedavi ve adli tıbbi açıdan değerlendirilmesi önem kazanmıştır.…”

“…Yüksek basınçlı sistemlerde kullanılan maddeler, su ve hava gibi daha az irritan maddeler olabileceği gibi, çeşitli yağlar, boyalar ve solventler gibi kimyasallar da olabilmektedir (4,5). Bu sistemler, sıklıkla oto yıkama ve boya endüstrisinde kullanılmaktadır (6).…”