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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

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Štítky
Surgery Traumatology Trauma surgery
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