High-Pressure Injection Injuries to the Hand

Hand injuries due to high‐pressure injection devices for painting in shipyards: Circumstances, management, and outcome in twelve patients

“…This type of equipment can produce pressures of 600-12,000 pounds/square inch (psi) [O'Reilly and Blatt, 1975;Hayes and Pan, 1982], delivering paint, solvent, water, and air at a speed comparable to the muzzle velocity of a rifle (Fig. 1).…”

Injection injury caused by puncture of the nozzle of a spray can

“…Grease and other toxins result in direct injury to the tissue, which causes an inflammatory response [4]. Injuries with paint, paint thinners, and solvents have resulted in an amputation rate of over 60%, whereas with hydraulic fluid it was less than 10% [6]. Reported amputation rates of 25%, 54.3%, and 80% have been published with paint and lacquer, ziebart sealant, and hydrocarbon solvent, respectively [3].…”

Low pressure air injury to the hand

“…Most of the reported cases with high-pressure air injection responded to conservative management, unlike the high-pressure injection injuries with foreign materials [2,5]. Jansen and Holm emphasised the importance of acute intervention in cases of high-pressure air injury because of a risk of soft tissue damage [6].…”

“…Various agents have been injected in the hand this way, some of which have caused serious damage [1Á4]. Highpressure injury with compressed air has also been reported [5,6]. We present a case of low-pressure inflation injury to the hand sustained accidentally while inflating a football with a foot-operated bellows pump.…”