High-pressure injection injury: a case report and systematic review

Abstract

High-pressure delivery devices for paint and other substances can lead to severe injuries of the hand without immediate surgical debridement. We present a case of a high-pressure paint gun injury treated surgically with full resolution of function. A systematic review of the literature details outcomes of similar injuries.

Extensive high-pressure injection injury of the hand due to epoxy resin paint: a case report

“…From the above experience and based on the findings of previous studies [2,6,10], we believe that it is appropriate to perform repeated and thorough debridement before the defect is reconstructed using a flap. An early surgery may result in tension-free incision and prevent compartment syndrome that is caused by increased pressure and necrosis [11].…”

“…However, it has rarely been inoculated in high-pressure injection injuries. Two large-scale reports on highpressure injection injuries were found; the first, from Japan, comprised 89 cases [1], and the second was a systematic review of 49 articles, comprising 115 cases, conducted by Eells et al [2]. However, neither report contained details about epoxy resin paint-induced injury.…”

High-pressure injection hand injury

“…Since then, scattered case reports and small case series have guided current management 2,3. As established by the University of Colorado, the prevalence of high-pressure injection injuries is 1 in 600 hand injuries 4. The most common material injected is paint, but other materials such as paint thinner, grease, gasoline, hydraulic fluid, dry cleaning solvent, air, water, and vaccines also have been documented 2,3,5,6.…”

High-pressure injection injury to the hand - a case report

“…The most commonly injected substances are fuel, oil, grease, paint solvent, air, water, and cement, with paint being the most commonly injected material. [9][10][11] Air and water have the best prognosis in injection injuries because they lead to only a minimal inflammatory response and are absorbed over time. Oil-based paints have been reported to be more inflammatory and have higher complication rates when injected in comparison to water-based paints.…”