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Updated: Jun 28, 2026
10:08
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Injection injuries: seemingly minor injuries with major consequences.
H Z Dailiana1, D Kotsaki, S Varitimidis
1Department of Orthopaedic Syrgery, University of Thessalia, Larissa, Greece. dailiana@med.uth.gr
Hippokratia
|October 17, 2008
Summary
High-pressure injection injuries, often underestimated, can cause severe tissue damage. Prompt diagnosis and aggressive surgical treatment are crucial for limb salvage and optimal functional outcomes.
Area of Science:
- Orthopaedic Surgery
- Trauma Care
- Emergency Medicine
Background:
- High-pressure injection injuries are rare but severe injuries.
- Often present with underestimated small puncture wounds.
- Injected substances cause extensive tissue damage, potentially leading to limb loss.
Purpose of the Study:
- To emphasize the severity of injection injuries.
- To improve physician recognition and appropriate treatment.
- To alert healthcare providers to potential complications.
Main Methods:
- Retrospective review of 8 patients with injection injuries (lubricants/solvents).
- Treatment involved debridement and compartment release.
- Analysis of treatment delays, procedures, and outcomes.
Main Results:
- All patients developed compartment syndrome within 4-6 hours.
- Mean delay in treatment for referred patients was 3.8 days.
- Surgical interventions included debridement, compartment release, flap procedures, and amputation; 5 excellent and 3 good outcomes.
Conclusions:
- Prompt diagnosis and immediate aggressive surgical intervention are vital for limb salvage.
- Patient education regarding injury severity and potential multiple procedures is essential.
- Early recognition and treatment significantly impact functional results.
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