Nail Gun Injuries to the Hand

Hussey, Keith; Knox, D N; Lambah, Alex; Curnier, Alain; Holmes, John; Davies, Michaela

doi:10.1097/ta.0b013e3180d09996

Cited by 12 publications

(8 citation statements)

References 11 publications

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“…high pressure injection devices, nail guns) mainly occur in the age groups of the third and fourth decade [17-21]. Circular saw-related casualties are typically older (roughly 50 years on average in this study) due to the high ratio of non-occupational or recreational injuries [2].…”

Section: Discussionmentioning

confidence: 99%

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Frank

Hecht

Napp

et al. 2010

J Trauma Manage Outcomes

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BackgroundAlthough injuries due to circular saws are very common all over the world, there is surprisingly little information available about their functional outcomes. As the socioeconomic impact of these injuries is immense and determined by the casualties' disability and impairment, it is the objective of this study to present data on the functional outcome, disability, and impairment of hand injuries due to electric circular saws.MethodsPatients treated from 1999 through 2007 for circular saw-related hand injuries were contacted and asked for clinical follow-up assessment. The clinical follow-up protocol consisted of a physical examination and an assessment of static muscle power (grip and pinch strength). For assessment of the subjective experience of the patients regarding their injury-related disability and impairment, the DASH follow-up questionnaire was used. The occupational impact of these injuries was measured by number of lost working days. Finally, safety-related behaviour of the patients was investigated.Results114 Patients were followed-up on average 52 months after the injury. Average in-house treatment was 8.8 days. Average time lost from work was 14.8 weeks. A significant reduction of static muscle testing parameters compared with the uninjured hand was revealed for grip strength, tip pinch, key pinch, and palmar pinch. Average DASH score was 17.4 (DASH work 15.8, DASH sports/music 17.7). Most patients had more than ten years experience in using these power tools.ConclusionThe everyday occurrence of circular saw-related hand injuries followed by relatively short periods of in-house treatment might distort the real dimension of the patients' remaining disability and impairment. While the trauma surgeon's view is generally confined to the patients' clinical course, the outcome parameters in this follow-up investigation, with loss of working time as the key factor, confirm that the whole socioeconomic burden is much greater than the direct cost of treatment.

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Section: Discussionmentioning

confidence: 99%

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Frank

Hecht

Napp

et al. 2010

J Trauma Manage Outcomes

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“…Injuries or fatalities due to these powder actuated devices or tools are mainly caused by carelessness or culpable negligence of the operator [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Trauma potential and ballistic parameters of cal. 9mm P.A. dummy launchers

Frank

Bockholdt

Philipp

2010

Forensic Science International

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“…Nails can also enter on a wide angle, creating a greater injury compared with a nail entering perpendicularly, and ricocheted nails can be bent on impact, further increasing the severity of tissue damage . Injuries can be further complicated by contaminants including skin, oil, metal fragments and glue . The combination of damaged tissue and foreign material provides an ideal environment for infection.…”

Section: Discussionmentioning

confidence: 99%

“…5 Injuries can be further complicated by contaminants including skin, oil, metal fragments and glue. 6 The combination of damaged tissue and foreign material provides an ideal environment for infection.…”

Section: Discussionmentioning

confidence: 99%

Eighty‐seven cases of a nail gun injury to the extremity

Ling

Ong

North

2013

Emerg Medicine Australasia

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The present study characterises the injury patterns caused by nail guns. Treatment of these injuries should be based on clinical findings; however, the majority of cases should undergo surgical treatment. The required operation is a short and safe treatment modality that might allow a thorough assessment of the injury, removal of embedded material, repair of structural damage and a sterile washout to be performed.

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Nail Gun Injuries to the Hand

Abstract: To our knowledge, this is the first large study to clinically document the actual hand injuries caused by nail guns. An analysis of our treatment patterns suggests a low risk from surgical exploration with several potential benefits.

Cited by 12 publications

References 11 publications

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Trauma potential and ballistic parameters of cal. 9mm P.A. dummy launchers

Eighty‐seven cases of a nail gun injury to the extremity

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