Document Detail


The surgical treatment and outcomes of high-pressure injection injuries of the hand.
MedLine Citation:
PMID:  17399870     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
High-pressure injection injuries to the hand are uncommon soft tissue traumas of the hand which are frequently underestimated. They are, however, not uncommon among workers in industry using paint, automotive grease, solvents and diesel oil. The prognostic factors are the type, amount and temperature of the material and the pressure of injection. The results of 14 surgically treated high-pressure injection injuries of the hand with a minimum of two years follow-up are reported. Ten cases required soft tissue debridement and foreign body removal. Six required reconstructive microsurgical procedures and one underwent digital tip amputation, which followed major and devastating soft tissue problems. In the present study, we describe the mechanism of the soft tissue damage and the principles of treatment. This study confirms the fact that high-pressure injection injury to the hand is a significant problem, which can easily lead to serious sequelae and, even, amputation.
Authors:
H Bekler; A Gokce; T Beyzadeoglu; F Parmaksizoglu
Publication Detail:
Type:  Journal Article     Date:  2007-03-30
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  32     ISSN:  1753-1934     ISO Abbreviation:  -     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-10-22     Completed Date:  2007-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  394-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics and Traumatology, School of Medicine, Yeditepe University, Istanbul, Turkey. hbekler@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Accidents, Occupational*
Adolescent
Adult
Amputation
Debridement / methods
Female
Finger Injuries / surgery*
Follow-Up Studies
Foreign Bodies / surgery*
Hand Injuries / surgery*
Humans
Injections, Jet
Limb Salvage
Male
Microsurgery
Middle Aged
Postoperative Complications / etiology*
Pressure
Reoperation
Soft Tissue Injuries / surgery*
Surgical Flaps
Thumb / injuries*,  surgery
Treatment Outcome

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


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