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High-pressure injection injuries to the hand.

S B Schnall1, R Mirzayan

  • 1Department of Orthopaedic Surgery, University of Southern California School of Medicine, Los Angeles, USA.

Hand Clinics
|June 11, 1999
PubMed
Summary

High-pressure injection injuries of the hand can cause severe damage, with amputation rates up to 48%. This review covers injury management, from initial ER care to surgical treatment and antibiotic recommendations.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Hand Surgery

Background:

  • High-pressure injection injuries (HPIIs) of the hand are a significant cause of morbidity.
  • These injuries can result in devastating outcomes, including high rates of amputation.

Purpose of the Study:

  • To provide a comprehensive review of HPIIs of the hand.
  • To detail the history, clinical presentation, and management strategies for these injuries.

Main Methods:

  • Literature review focusing on HPIIs of the hand.
  • Analysis of historical data, clinical presentations, and treatment outcomes.

Main Results:

  • HPIIs carry a high risk of severe tissue damage and potential amputation.
  • Effective management involves prompt emergency room assessment and definitive surgical intervention.

Conclusions:

  • Early and aggressive management is crucial for optimizing outcomes in hand HPIIs.
  • Understanding the bacteriology and appropriate antibiotic use is vital for preventing complications.

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