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High-pressure injection injuries of the hand
The Journal of Bone and Joint Surgery. American Volume
|October 1, 1975
Summary
High-pressure injection injuries to the hand from paint have a poorer prognosis than grease. Early, aggressive surgical débridement is recommended for all such hand injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Hand Surgery
Background:
- High-pressure injection injuries to the hand are frequently caused by materials like automotive grease, diesel oil, and paint.
- These injuries pose significant challenges due to the high-velocity introduction of foreign substances into delicate hand tissues.
Purpose of the Study:
- To compare the prognosis of high-pressure injection injuries to the hand based on the injected material.
- To evaluate the impact of different injected substances on treatment outcomes and disability duration.
Main Methods:
- Retrospective analysis of twenty-six patients treated for high-pressure injection injuries of the hand.
- Categorization of injuries based on the injected material (grease, diesel oil, paint).
- Assessment of patient outcomes, including the need for amputation and duration of disability.
Main Results:
- Paint injection injuries demonstrated a significantly poorer prognosis compared to grease injections.
- Amputation was frequently required for paint injections into digits, with palm injections showing a slightly better outlook.
- Disability time in paint injection cases correlated with the time to digit amputation.
Conclusions:
- Paint is a particularly hazardous material in high-pressure hand injection injuries, often necessitating amputation.
- While the timing of treatment relative to injury was not definitively linked to the ultimate outcome in this study, early and aggressive wide débridement remains the recommended surgical approach for all such injuries.
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