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Published on: May 26, 2026
Nail-gun injuries to the hand
Yvonne N Pierpont1, Effie Pappas-Politis, Deepak K Naidu
1Institute for Tissue Regeneration, Repair, and Rehabilitation, Bay Pines VA Healthcare System, Bay Pines, Florida, USA.
Nail gun injuries commonly affect the hand. Prompt evaluation and appropriate treatment, including surgical removal of embedded nails, are crucial for successful outcomes in these construction-related hand injuries.
Area of Science:
- Orthopedics
- Trauma Surgery
- Occupational Health
Background:
- Nail guns are prevalent in construction and carpentry.
- Despite efficiency benefits, nail guns pose significant injury risks, particularly to the hand.
- Hand injuries are the most frequent outcome of nail gun use in both occupational and non-occupational settings.
Purpose of the Study:
- To present two cases of nail gun injuries to the hand.
- To review the literature on clinical evaluation and treatment of nail gun hand injuries.
- To discuss management strategies for nail gun-related hand trauma.
Main Methods:
- Case report of two patients with nail gun hand injuries.
- Comprehensive literature review on nail gun injuries to the hand.
- Analysis of clinical presentation, treatment, and outcomes.
Main Results:
- Both patients sustained soft tissue hand injuries with embedded nails.
- Successful treatment was achieved through operative nail removal and wound care.
- Injury severity dictates treatment, influenced by nail characteristics like barbs.
Conclusions:
- Healthcare providers need to educate patients on nail gun injury prevention.
- Proper evaluation and understanding of surgical versus non-surgical management are essential.
- Awareness of potential treatment complications is critical for managing nail gun hand injuries.
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