High-pressure spray gun injury of a hand - case report
Authors:
Jozef Kubašovský; Roman Totkovič; Tomáš Ševčík; Martin Vicen
Authors place of work:
Orthopaedic Department, Košice-Šaca Hospital, a. s. 1. st private hospital
; Ortopedické oddelenie, Nemocnica Košice- Šaca, a. s. 1. súkromná nemocnica
Published in the journal:
Úraz chir. 22., 2014, č.2
Category:
Case report
Summary
Aim of the paper:
On the grounds of the particular case of a patient being treated for a rare high-pressure injection hand injury, the authors emphasize the necessity of a targeted medical history, detecting the nature and the amount of an injected fluid and other circumstances of an accident.
Material:
In this paper, the authors describe a course of treatment of a thirty-year-old man who has had an occupational accident in which he has suffered a hand injury caused by a high-pressure water mechanism. They consider a time that goes by from an emergence of the injury to an appropriate treatment being a very important factor influencing the final functional outcome. However, in accordance with published presentations, the authors regard a surgical intervention conducted by an experienced surgeon to be the most important one.
Results:
A satisfactory functional outcome that the authors present has been influenced by a non-aggressive substance penetrating into the tissue and an appropriate surgical treatment conducted by an experienced surgeon.
Discussion:
The authors hereby present literary knowledge of prognostic factors in injury and a method of treatment applied to achieve satisfactory functional outcome.
Conclusion:
A rare high-pressure injection injury is a serious injury with possible permanent effects in a vulnerable group – young people of working age. Awareness of primary care providers and surgeons of new knowledge concerning this type of an injury makes it possible to decrease the functional limitations percentage after suffering such an injury.
Key words:
Injury, high-pressure spray gun, diagnostics, treat-ment.
Zdroje
1. AMSDELL, SL., HAMMERT, WC. High-pressure injection injuries in the hand:current treatement concepts. Plast Reconstr Surg. 2013, 132, 586e–591e.
2. AUSTIN, JC., HANKIN, FM. High-Pressure Water Injection Causing an Isolated Tendon Laceration: A Case Report. Am J Orthop. 2007, 36, 213–214.
3. BEKLER, H., GOKCE, A., BEYZADEOGLU, T. The Surgical Treatment and Outcomes of High-Pressure Injection Injuries of the Hand. J Hand Surg Eur. 2007, 32, 394–399.
4. BOOTH, CM. High pressure paint gun injuries. Br Med J. 1977, 2, 1333–1335.
5. HOGAN, CJ., RULAND, RT. High-pressure injection injuries to the upper extremity: a review of the literature. J Orthop Trauma. 2006,20, 503–511.
6. CHEN, Q., LIU, DS., HU, W. Treatement of high-pressure paint injection injuries of hand with debridement combined with vaccum sealing drainage technique. Zhongguo Gu Shang. 2011, 24, 851–853.
7. LOVEDAY, I. High-pressure injection injuries. Emergency nurse. 2007, 15, 22–23.
8. LOZANO, SA., MUDGAL, CS., MUDGAL, S. Latex Paint-gun Injuries of the Hand: Are the Outcomes Better? Hand. 2008, 3, 340–345.
9. MAŇÁK, P. Poranení ruky stříkací pistolí. Úraz chir. 1998, 6, 7–10.
10. MIRZAYAN, R., SCHNALL, SB., CHON, JH. Culture results and amputa-tion rates in high-pressure paint gun injuries of the hand. Orthopedics. 2001, 24, 587–589.
11. RAPPOLD, G., ROSENMAYR, E. High-pressure injection injuries of the hand. Pathogenesis, problems and therapy. Handchir Mikrochir Plast Chir. 2001, 33, 332–341.
12. SAMPSON, CS. High-pressure water injection injury. Int J Emerg Med. 2008, 1,151–154.
13. SCHNALL, SB., MIRZAYAN, R. High-pressure injection injuries to the hand. Hand Clin. 1999, 15, 245–248.
14. SMITH, GD. High pressure injection injuries. Trauma. 2005, 7, 95–103.
15. TEMPELLMAN, TM., BORG, DH., KON, M. Injury of the hand by a high pressure injection: often serious subcutaneus damage. Ned Tijdschr Geneeskd. 2004, 148, 2334–2338.
16. VALENTINO, M., RAPISARDA, V., FENGA, C. Hand injuries due to highpressure injection devices for painting in shipyards: circumstances,management, and outcome in twelve patients. Am J Ind Med. 2003, 43, 539–542.
17. VERHOEVEN, N., HIEMER, R. High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature. Strategies Trauma Limb Reconstr. 2008, 3, 27–33.
Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
2014 Číslo 2
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
- Current Insights into the Antispasmodic and Analgesic Effects of Metamizole on the Gastrointestinal Tract
- Obstacle Called Vasospasm: Which Solution Is Most Effective in Microsurgery and How to Pharmacologically Assist It?
Najčítanejšie v tomto čísle
- Prevention of venous thromboembolism in traumatology
- TRAUMATIC PULMONARY PSEUDOCYST (TPP)
- High-pressure spray gun injury of a hand - case report
- PC.C.P. (percutaneous compression plate) in the treatment of proximal femur fractures