High pressure paint injection injury of the hand

Mills, Christian; Wilson, Paul; Watts, Troy; Manushakian, Hagop S.

doi:10.1016/j.injury.2006.09.027

Cited by 5 publications

(1 citation statement)

References 9 publications

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“…In accordance with the literature, injuries occur while greasing gears and cleaning nozzles. Often, many of these injuries involve an employee of a new job or handling unfamiliar equipment [1,9,28]. In our sample, all workers had a multi-annual work experience.…”

Section: Discussionmentioning

confidence: 99%

Management of High-Pressure Injection Hand Injuries: A Multicentric, Retrospective, Observational Study

Vitale

Ledda

Adani³

et al. 2019

JCM

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Hand injuries after high-pressure injection are a medical emergency. These events occur frequently in workers during industrial cleaning, painting, and lubrication, and may have devastating consequences, leading to eventual amputation and poor functional outcomes. The authors have investigated the evolution, management, and outcome. Medical records of occupational medicine units and hand surgery units were collected in order to spot the high-pressure gear accident cases. Records were analyzed by dividing the subjects into two groups: those treated within 6 h and after 6 h of the trauma. A follow-up was carried out at least 1 year after treatment; the post-treatment outcomes were assessed. Of the 71 (100%) subjects, 26 (37%) were treated ≤6 h and 45 (63%) >6 h. A total of 28% (n = 20) underwent amputation. In 61% of cases, accidents had occurred in the iron and steel sector. High viscosity materials with a delayed treatment beyond 6 h seemed to determine compartmental syndrome and following amputation. A significantly better outcome was reported among subjects treated ≤6 h compared to those treated >6 h, 20% (n = 7) versus 26% (n = 9), respectively. Early management of this type of injury is crucial. The results of this study may contribute to providing guidelines to occupational physicians in order to best manage this type of emergency.

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Section: Discussionmentioning

confidence: 99%

Management of High-Pressure Injection Hand Injuries: A Multicentric, Retrospective, Observational Study

Vitale

Ledda

Adani³

et al. 2019

JCM

View full text Add to dashboard Cite

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Synovitis of the knee following a high-pressure injection injury with hydraulic oil

et al. 2018

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High-pressure injection injuries occur when equipment capable of achieving high pressure injects its contents into the human body. These injuries are largely occupational and may present as small entrance wounds with very few symptoms. However, they represent a surgical emergency, often requiring amputation. They characteristically involve the upper extremities, but other regions of the body may be injured. We present the case of a 26-year-old man who sustained a high-pressure injection injury with hydraulic oil to the knee and a literature review of this type of accident. To our knowledge, this report is the first to describe such an injury to the knee, with magnetic resonance imaging findings.

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