Molten metal high pressure injection injury of the hand

Feldman, Guy; Hitti, S.; Rozen, Nimrod; Rubin, Guy

doi:10.1016/j.hansur.2020.03.007

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Western medicine treatment causes great damage to the body, with higher costs and more side effects. Compared with Western medicine, traditional Chinese medicine treatment has less damage, fewer side effects, and significant effects and has been widely recognized by patients [ 13 ]. Dragon's Blood (DB) is a traditional Chinese medicine (TCM) herb used to treat pressure wounds that can promote blood circulation and dispersing stasis, generate muscle, and collect ulcers and has a good therapeutic effect on all stages of pressure ulcers [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Effect and Mechanism of Dragon’s Blood on Wound Healing of Patients with Stress Hand Injury

Sun

Wang

Yue

et al. 2023

Evidence-Based Complementary and Alternative Medicine

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This study aimed to explore the effect and mechanism of Dragon’s Blood on wound healing in patients with a pressure hand injury. A total of 120 patients with pressure hand injury treated in our hospital were randomly divided into two groups. Sixty patients in the control group were dressed with sterile gauze, and 60 patients in the observation group were smeared with blood exhaustion. The clinical effects and serological indexes of the two groups were compared, and the mechanism of wound healing was analyzed. The results showed that the treatment effective rate of the control group was 80% and that of the observation group was 93.33%. The treatment effective rate of the observation group was dramatically higher ( P < 0.05 ). The number of patients with good granulation tissue in the observation group was 53, which was dramatically greater than that in the control group. The number of patients with a small amount of wound exudation was 51, which was dramatically greater than that in the control group ( P < 0.05 ). After treatment, the levels of matrix metalloproteinase (MMP-3), vascular endothelial growth factor (VEGF), and transforming growth factor B1 (TGF-B1) in the observation group increased more dramatically ( P < 0.05 ). The level of tissue inhibitor of metalloproteinase-1 (TIMP-1) decreased to 617.23 ng/L in the observation group, and the degree of reduction was more obvious ( P < 0.05 ). Notably, Dragon’s Blood promoted wound healing at the injury site by increasing the levels of MMP-3, VEGF, and TGF-B1and decreasing TIMP-1. The area of wound reduction in the observation group was 0.27 cm2, and the reduction was more obvious ( P < 0.05 ). The healing time of pressure hand injury in the observation group was 15.27 days, which was dramatically shorter ( P < 0.05 ). In summary, Dragon’s Blood had a good effect on the healing of the injured site in patients with pressure hand injury, which is worthy of promotion.

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Section: Introductionmentioning

confidence: 99%

Effect and Mechanism of Dragon’s Blood on Wound Healing of Patients with Stress Hand Injury

Sun

Wang

Yue

et al. 2023

Evidence-Based Complementary and Alternative Medicine

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“…Similar to high-pressure injection injuries of the digit, seen in workers handling diesel injection apparatus or high-pressure paint sprayers, the severity of injuries is related to several variables including location, needle trajectory, secondary bacterial infection, and the type of inoculum 12 . ASI injuries usually involves the non-dominant hand 13 , Inexperienced male employees who have worked less than 6 months are at a higher risk of injury 14 .…”

Section: Introductionmentioning

confidence: 99%

Hand function following accidental automatic animal syringe injector injuries

Rubin

Feldman

Shtawe

et al. 2022

Sci Rep

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Accidental self-injection injury is a common occurrence among veterinary and farm workers handling automatic syringe injectors. Most of the time, these injuries are asymptomatic or cause self-resolving mild symptoms, but these injuries may lead to significant morbidity. The aim of the study was to evaluate hand function after inadvertent injection of a poultry influenza or cholera vaccine in patients admitted to our department with infection. We retrospectively gathered data from admission to last follow-up. Functional assessment and physical exam of the hand were done at each stage by either an orthopedic resident or a fellowship-trained hand surgeon. The exam included evaluation of sensation using monofilament, joint range of motion using a goniometer, and a Quick DASH questionnaire. The study included 21 patients, all men, with a mean age of 33.4 years (range 23–44). Of the 21 patients only eight had attended all follow-ups. All patients had injury to the non-dominant hand. Seventeen of 21 of the cases had finger injuries, out of which 11 involved the thumb. The mean hospitalization time was 3.75 days (1–10). Of the 21 patients, seven underwent surgery to drain a collection during hospitalization. Seven out of eight patients had lowest disability scores on Quick Dash questionnaire. Three out of eight patients lost superficial sensation at the tip of the finger. The largest loss of range of motion was found in the distal interphalangeal joint in the finger or interphalangeal joint in the thumb, especially following surgical drainage. Of the eight patients presenting for follow-up, most had returned to the same job. Hand function was normal, as expressed in a DASH questionnaire. Sensory examination demonstrated that the sensation was almost unaffected over the injured finger. Range of motion of the joint closest to the injection site was usually the most impaired. Patients who underwent surgical drainage had a reduced range of motion.

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Molten metal high pressure injection injury of the hand

Cited by 2 publications

References 13 publications

Effect and Mechanism of Dragon’s Blood on Wound Healing of Patients with Stress Hand Injury

Effect and Mechanism of Dragon’s Blood on Wound Healing of Patients with Stress Hand Injury

Hand function following accidental automatic animal syringe injector injuries

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