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high-pressure injection hand injury
Etiology:
- puncture wound from high-pressure injection
- wounds caused by high-prssure injection devices such as grease guns or paint guns
Pathology:
- the injected contents spread along fascial planes, tendon sheaths & neurovascular bundles
Clinical manifestations:
- initial presentation of high-pressure injection puncture wounds is generally unimpressive despite significant injury to deep tissues
Complications:
- failure to appreciate the severity of high-pressure injection puncture wounds can lead to delay in diagnosis & worse outcomes, including amputation
Management:
- surgical emergency - hand surgery consult
- extensive surgical debridement & decompression of compartments of the hand within 6 hours may reduce the need for amputation
General
hand injury
References
- Cimino-Fiallos N
14 Can't-Miss Hand Emergencies
Medscape. March 5, 2021
https://reference.medscape.com/slideshow/hand-emergencies-6010180