High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature
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 surgica...
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| Published in | Strategies in trauma and limb reconstruction Vol. 3; no. 1; pp. 27 - 33 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Milan
Springer Milan
01.04.2008
Jaypee Brothers Medical Publishers Ltd |
| Subjects | |
| Online Access | Get full text |
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| Abstract | 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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| AbstractList | 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. |
| Author | Hierner, R. Verhoeven, N. |
| Author_xml | – sequence: 1 givenname: N. surname: Verhoeven fullname: Verhoeven, N. organization: Department of Plastic, Reconstructive and Aesthetic Surgery, Centre for Interdisciplinary Reconstructive Surgery, Microsurgery, Hand Surgery, Burns, Catholic University of Leuven, University Hospital Gasthuisberg – sequence: 2 givenname: R. surname: Hierner fullname: Hierner, R. email: robert.hierner@uz.kuleuven.ac.be organization: Department of Plastic, Reconstructive and Aesthetic Surgery, Centre for Interdisciplinary Reconstructive Surgery, Microsurgery, Hand Surgery, Burns, Catholic University of Leuven, University Hospital Gasthuisberg |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18427921$$D View this record in MEDLINE/PubMed |
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| PublicationTitle | Strategies in trauma and limb reconstruction |
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| Snippet | 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... |
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| StartPage | 27 |
| SubjectTerms | Amputation Case Report Case reports Damage Fingers Grease Hand High pressure Injection Injuries Intoxication Ischemia Latency Medicine Medicine & Public Health Orthopedics Pressure Pressure ulcers Skin diseases Skin lesions Surgical Orthopedics Traumatic Surgery |
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| Title | High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature |
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