Document Detail


High-pressure water injection of the foot with associated subcutaneous emphysema: a case report.
MedLine Citation:
PMID:  20493728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A review of the literature yields few reported cases of industrial-strength high-pressure water injection injuries involving the foot, and sources of information for industrial-strength high-pressure water injection injuries reside primarily in the hand surgical literature. Toxic materials, such as grease, paint, and diesel oil, are relatively common agents involved in injection injuries, and these substances are associated with increased morbidity in comparison with injection of water or air. Treatment of high-pressure injection of a toxic substance is a surgical emergency requiring irrigation, debridement, antibiotic administration, and monitoring for signs and symptoms of compartment syndrome. There are, however, documented cases where less extreme treatment regimens have met with success. We report a successful limb salvage case, and review of the literature, related to a high-pressure water injury involving the foot with associated extensive subcutaneous emphysema.
Authors:
Bradly Bussewitz; Scott Littrell; Karl Fulkert; Robert VanCourt
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-05-20
Journal Detail:
Title:  The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons     Volume:  49     ISSN:  1542-2224     ISO Abbreviation:  J Foot Ankle Surg     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-07-08     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9308427     Medline TA:  J Foot Ankle Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  399.e15-20     Citation Subset:  IM    
Copyright Information:
Copyright 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Grant Medical Center, Columbus, OH 43215, USA. Bradly.Bussewitz@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Accidents, Occupational*
Adult
Anti-Bacterial Agents / therapeutic use
Drainage
Fascia / surgery
Foot
Foot Injuries / etiology,  therapy*
Hallux / injuries*
Humans
Injections / adverse effects*
Irrigation / methods
Limb Salvage
Male
Pressure / adverse effects*
Subcutaneous Emphysema / etiology*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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