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Case Reports
. 2021 Dec 15;13(12):e20425.
doi: 10.7759/cureus.20425. eCollection 2021 Dec.

A Stiff Finger: A "Concrete" Diagnosis

Laura Bateman  1 , Iain Roy  1 , Olivia Kenyon  1 , Robert Manton  1 , Patrick Goon  1
Affiliations
Case Reports

A Stiff Finger: A "Concrete" Diagnosis

Laura Bateman et al. Cureus. .

Abstract

High-pressure injection injuries of the hand are uncommon but are associated with significant morbidity and require urgent surgical intervention. We describe a case of high-pressure injection of cement into the digit of a male patient while using an airless spray gun. We outline the initial assessment and surgical intervention, patient counselling regarding definitive management, and long-term outcomes of his injury. We also discuss mechanisms of high-pressure injection injuries, reconstructive options, and present a review of outcomes in patients sustaining similar injuries.

Keywords: airless spray gun; concrete injection; hand trauma; high-pressure injection; reconstructive surgery.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Volar surface of left ring finger at presentation
Figure 2
Figure 2. Hardened concrete within the subcutaneous tissues of the ring finger
Figure 3
Figure 3. Ring finger post-debridement showing exposed flexor apparatus
Figure 4
Figure 4. Cross-finger flap from the dorsum of the middle finger used to cover the volar defect of the ring finger
Figure 5
Figure 5. Postoperative photos at 18 months in full extension (A) and full flexion to make a fist (B)
See this image and copyright information in PMC

References

    1. High-pressure injection injuries to the upper extremity: a review of the literature. Hogan CJ, Ruland RT. J Orthop Trauma. 2006;20:503–511. - PubMed
    1. High-pressure injection injury: a case report and systematic review. Eells AC, McRae M, Buntic RF, et al. Case Reports Plast Surg Hand Surg. 2019;6:153–158. - PMC - PubMed
    1. High-pressure injection injury of the hand: an often underestimated trauma: case report with study of the literature. Verhoeven N, Hierner R. Strategies Trauma Limb Reconstr. 2008;3:27–33. - PMC - PubMed
    1. Long-term follow-up of high-pressure injection injuries to the hand. Wieder A, Lapid O, Plakht Y, Sagi A. Plast Reconstr Surg. 2006;117:186–189. - PubMed
    1. Wei DH, Strauch RJ. Fingertip Injuries: Diagnosis, Management and Reconstruction. Vol. 1. Cham, Switzerland: Springer, Cham; 2015. High pressure injection injuries; pp. 73–81.

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