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Nail Gun Injuries to the Hand and Wrist: A Systematic Literature Review
Prakash Chintapalli1,2, Eimear Phoenix1,2, Shane Cullen1,2
1Plastic and Reconstructive Surgery, St. Vincent's University Hospital, Dublin, IRL.
Cureus
|March 21, 2025
Summary
Nail gun hand injuries are common in construction. This review found significant long-term issues like chronic pain and reduced motion, highlighting the need for careful management and rehabilitation.
Area of Science:
- Orthopedics
- Occupational Health
- Emergency Medicine
Background:
- Nail gun injuries to the hand are frequent in the construction industry and emergency departments.
- These injuries can lead to significant long-term morbidity and functional deficits.
Purpose of the Study:
- To systematically review long-term morbidity and functional outcomes of nail gun injuries to the hand.
- To consolidate current evidence on the consequences of these common workplace injuries.
Main Methods:
- A systematic literature search was conducted across four scientific databases up to October 2023.
- Included studies described nail gun injuries to the hand, with 16 studies meeting eligibility criteria.
Main Results:
- A total of 185 nail gun injuries to the hand were analyzed.
- Common injuries included nerve (23), tendon (46), and bone (36) damage.
- Reported long-term morbidity included motor dysfunction (2), chronic pain/paresthesia (23), and reduced range of motion (11).
Conclusions:
- Nail gun injuries to the hand necessitate comprehensive evaluation and management strategies.
- Understanding surgical vs. non-surgical options and ensuring close postoperative monitoring and rehabilitation are crucial for optimal outcomes.
