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Case Reports
. 2019 Dec 18;6(1):153-158.
doi: 10.1080/23320885.2019.1654388. eCollection 2019.

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

Annica C Eells  1 , Matthew McRae  2 , Rudolf F Buntic  3 , Daniel Boczar  4 , Jeremie D Oliver  1 , Maria T Huayllani  4 , David J Restrepo  4 , Andrea Sisti  4 , Antonio Jorge Forte  4
Affiliations
Case Reports

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

Annica C Eells et al. Case Reports Plast Surg Hand Surg. .

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.

Keywords: Injection; emergency; hand; high-pressure; salvage; soft tissue; upper-extremity; vascular.

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Figures

Figure 1.
Figure 1.
Entrance wound on the radial aspect of the right long finger middle phalanx.
Figure 2.
Figure 2.
Radiograph demonstrating foreign material in the volar aspect of the right long finger, extending far beyond the injection site, lateral (left) and AP (right) views.
Figure 3.
Figure 3.
(left) Operative exploration with exposure of the neurovascular bundles and flexor sheath of the finger. The fresh white paint is clearly visible; (right) After extensive washout and initial debridement.
See this image and copyright information in PMC

References

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