Document Detail


High-pressure cement injection injury of the hand: a case report.
MedLine Citation:
PMID:  11901397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Modern equipment allows injection of substances at much higher pressures than previously. We describe a high-pressure cement injection injury to the hand and how its management differs from other injection injuries. This injury was treated by the established standard for this surgical wound: immediate debridement. The wound had the same mechanism, pathology, bacteriology, and treatment as other similar wounds. Prognosis after high-pressure injection injuries, however, also depends on the substance injected. Treatment for cement injection injuries differs because of the unique properties of cement. Immediate intervention is necessary for decompression and minimization of chemical burn. Removing the final few fragments of cement after they have hardened may decrease the number of debridements and soft tissue destruction. Serial x-rays can be used to guide debridements, but if serial x-ray films are not obtained, a final x-ray is mandatory to ensure removal of all cement.
Authors:
Steven T Barr; William Wittenborn; Dzi Nguyen; Ellen Beatty
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  27     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-19     Completed Date:  2002-09-12     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  347-9     Citation Subset:  IM    
Affiliation:
Division of Orthopedic Surgery, Department of General Surgery, University of South Florida, Tampa, FL, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Occupational*
Adult
Calcium Compounds*
Hand Injuries / etiology*,  surgery*
Humans
Injections
Male
Oxides*
Pressure
Silicon Dioxide*
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Calcium Compounds; 0/Oxides; 1305-78-8/lime; 7631-86-9/Silicon Dioxide

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


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