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

Wieder, Anat; Lapid, Oren; Plakht, Ygal; Sagi, Amir

doi:10.1097/01.prs.0000185668.67855.63

Cited by 41 publications

(42 citation statements)

References 19 publications

(30 reference statements)

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“…More than 50% of the injections occur in the index finger. The second most touched region is the thumb and only 10% of the injections occur in the hand palm or elsewhere [10].…”

Section: Discussionmentioning

confidence: 99%

“…In the majority of the cases the injection place is the hand. Generally it concerns the non-dominant hand [4,[7][8][9], although in the study of Wieder et al [10] 13 of 25 injections took place at the dominant hand. More than 50% of the injections occur in the index finger.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature it varies from 40 to 800 bar [10,16]. A pressure of 7 bar is already sufficient to penetrate the skin.…”

Section: Pathophysiologymentioning

confidence: 99%

“…Some fluids have cytolytic properties and can cause tissue destruction, necrosis and intense inflammatory responses. Fibrosis arises around the tissues and can result in a strong restriction of the hand function [5,7,10,16].…”

Section: Pathophysiologymentioning

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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“…More than 50% of the injections occur in the index finger. The second most touched region is the thumb and only 10% of the injections occur in the hand palm or elsewhere [10].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In the literature it varies from 40 to 800 bar [10,16]. A pressure of 7 bar is already sufficient to penetrate the skin.…”

Section: Pathophysiologymentioning

confidence: 99%

Section: Pathophysiologymentioning

confidence: 99%

See 2 more Smart Citations

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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“…Amputation rate is high and the injury burdens devastating sequels, which downgrade the function of the hand (3). According to the literature, a small percentage of injured patients can resume their original work and duties (10). In our series two out of nine patients were able to continue their previous job.…”

Section: Discussionmentioning

confidence: 83%

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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Severe Hand Injuries

Arrowsmith

2013

Acute and Chronic Finger Injuries in Ball Sports

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

Abstract: This study confirms the fact that high-pressure injection injury to the hand is a significant problem. Virtually all patients suffer sequelae of this injury. The injury has significant repercussions for future function and reintegration into the work force.

Cited by 41 publications

References 19 publications

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

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

High-Pressure Injection Injuries to the Hand

Severe Hand Injuries

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