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Metacarpal Small Incision for Carpal Tunnel Syndrome

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Published on: April 5, 2024

Skin Popping for the Hand Surgeon: A Case Report and Review.

Sabrina Shih¹, Caitlin A Francoisse², Kyle Y Xu³

¹From the Columbia University Vagelos College of Physicians and Surgeons, New York, NY.

Annals of Plastic Surgery

|July 14, 2023

Summary

Skin popping, or subcutaneous drug injection, often leads to severe upper extremity infections. Early recognition and complex surgical reconstruction, including free tissue transfer, are crucial for managing these challenging cases.

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Area of Science:

Orthopedic Surgery
Plastic Surgery
Infectious Disease

Background:

Subcutaneous injection of illicit drugs (skin popping) frequently causes upper extremity skin and soft tissue infections.
These infections often present late to hand surgeons, posing complex clinical challenges.
The sequelae represent a significant burden on patients and healthcare providers.

Conclusions:

Hand surgeons must understand the unique aspects of skin popping infections for effective patient management.
There is a lack of literature on risk factors and surgical treatment for skin popping sequelae.
Complex reconstruction, potentially involving free tissue transfer, may be necessary for reconstructive candidates.