PMID: 6987411Mar 1, 1980Paper

High-pressure injection injuries of the hand

The Journal of Trauma
M J SchooJ A Boswick

Abstract

One hundred twenty-seven case reports of high-pressure injection injuries have been analyzed, and five patients of our own are reported. The injury usually occurs to young, working males, most often to their nondominant index finger. Without proper surgical intervention, the injected part often progresses to necrosis, debilitating fibrosis, and stiffness. The pathology is that of inflammation and foreign body granulomatous formation. Damage results from impact, ischemia resulting from vascular compression, chemical inflammation, and secondary infection. Recommended treatment has traditionally been early surgical decompression, removal of injected material, and antibiotics. There is some evidence that anti-inflammatory medication is of value. In the patients treated early with steroids and proper antibiotics, infection has not been a problem. We feel that treatment of these injuries should include: 1) Immediate, high-dose, parenteral steroids followed by high-dose oral steroids in tapered doses. Our present regimen consists of initial doses of hydrocortisone sodium succinate 100 mg intravenously every 6 hours until it appears that swelling and erythema have maximized and begun to diminish, then changing to oral prednisone 25 mg ...Continue Reading

Citations

Jul 21, 2010·Der Unfallchirurg·T SchenckR E Giunta
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Santiago A Lozano-CalderónDavid Ring
Nov 1, 1991·Injury·N C Neal, F D Burke
Apr 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M Almind, L Broeng
Apr 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·K S Eyres, T Morley
Sep 6, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·T C WongW C Wu
Jun 1, 1984·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·W J MorganR Evans
Jan 26, 2002·The Journal of Emergency Medicine·Om P Sharma, Michael F Oswanski
Aug 10, 2011·Occupational Medicine·R S KamraniM R Aghamirsalim
Oct 1, 2013·Plastic and Reconstructive Surgery·Simon L Amsdell, Warren C Hammert
Jun 8, 1996·BMJ : British Medical Journal·F Burke, O Brady
Jan 18, 2013·Indian Journal of Orthopaedics·Sanjay Saraf
Sep 1, 1995·American Journal of Otolaryngology·S LangG Grevers
Nov 24, 1999·The Journal of Trauma·A L EstreraK L Mattox
Apr 17, 2001·The Journal of Trauma·L ChristodoulouF D Burke
Jan 13, 2006·Plastic and Reconstructive Surgery·Anat WiederAmiram Sagi
Aug 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ufuk Emre, Aysun Unal
Mar 29, 2006·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·J Y L Lee, F C Yong
Aug 8, 2006·Journal of Orthopaedic Trauma·Christopher J Hogan, Robert T Ruland
May 18, 2018·Skeletal Radiology·Paulo A NoronhaEdson Marchiori
Sep 3, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H G LewisM D Brennen
Dec 19, 2002·Emergency Medicine·Rathan M Subramaniam, Gary M Clearwater
Jul 29, 2000·Postgraduate Medicine·M R Mizani, B E Weber
Apr 6, 2002·Journal of Wound Care·R Tejero-Trujeque
Mar 16, 2007·CJEM·Jaime T Snarski, Robert H Birkhahn
Apr 3, 2007·The Journal of Hand Surgery, European Volume·H BeklerF Parmaksizoglu
Feb 27, 2014·Emergency Radiology·Greg PetersDeborah Forrester
Jan 3, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Melvin P Rosenwasser, David H Wei
Mar 24, 2018·The Journal of Craniofacial Surgery·John P KelpinAndrea E Van Pelt
Jan 30, 2018·Orthopedics·Bryan BeanR Glenn Gaston
Mar 22, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Sancho Rodríguez-VillarCarlos Pilasi Menichetti
Jan 22, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J F Caddick, R F Rickard
Apr 22, 2005·Journal of Veterinary Pharmacology and Therapeutics·K N Woodward
Feb 18, 2010·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Maki TakaseKazuya Matsumoto
Nov 21, 2019·Journal of Clinical Medicine·Ermanno VitaleVenerando Rapisarda
Feb 1, 2020·Case Reports in Plastic Surgery & Hand Surgery·Annica C EellsAntonio Jorge Forte
Apr 3, 2002·Human & Experimental Toxicology·F K Seymour, J A Henry
Apr 6, 2005·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·M E PuhaindranW Y C Chew
Feb 6, 2020·Current Medical Imaging Reviews·Cigdem Ozer GokaslanUgur Toprak
Jan 1, 1987·Journal of Toxicology. Clinical Toxicology·R MrvosE P Krenzelok
Feb 18, 2016·The Indian Journal of Surgery·Yong-Tao Zhang, Jun-Hong Xue
Mar 20, 2002·The Journal of Hand Surgery·Steven T BarrEllen Beatty
Dec 5, 2000·The American Journal of Emergency Medicine·D VasilevskiM Lafontaine

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