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Nail gun injuries to the hand
Keith Hussey1, David Knox, Alex Lambah
1Ninewells Hospital, Dundee, United Kingdom.
The Journal of Trauma
|January 12, 2008
Summary
Nail gun hand injuries, common in construction workers, often involve deep penetration. Meticulous wound care is sufficient, with low risk from surgical exploration for these hand injuries.
Area of Science:
- Trauma Surgery
- Orthopedic Surgery
- Occupational Health
Background:
- Aberdeen Royal Infirmary serves over 500,000 people.
- A rise in nail gun hand injuries prompted a clinical review.
- Nail gun injuries are deep, potentially contaminated, and penetrating wounds.
Purpose of the Study:
- To review the management of nail gun hand injuries.
- To analyze the clinical presentation and outcomes of these injuries.
- To evaluate the necessity and benefits of surgical exploration.
Main Methods:
- Retrospective review of 55 nail gun hand injury cases.
- Data collected from January 2000 to June 2004.
- Analysis focused on injury characteristics and treatment outcomes.
Main Results:
- Injuries predominantly affect men in the construction industry.
- 25% of cases involved tendon, nerve, or joint damage requiring surgical intervention.
- No cases necessitated extensive surgical procedures beyond meticulous wound toilet.
Conclusions:
- This study is the first large clinical documentation of nail gun hand injuries.
- Treatment patterns suggest a low risk associated with surgical exploration.
- Meticulous wound care appears to be the primary effective treatment.
