Nail gun injuries to the hand

The Journal of Trauma
Keith HusseyMichaela Davies

Abstract

Aberdeen Royal Infirmary is a teaching hospital serving a population of over 500,000. A number of nail gun injuries to the hand prompted a review of our management of these injuries and a review of the literature. These are deep penetrating injuries, often contaminated by particles of skin, oil, paper or glue, or caused by nails that are barbed. Fifty-five cases of nail gun injury to the hand were reviewed in a retrospective study of injuries presenting to the hospital between January 2000 and June 2004. The population at risk is almost entirely men and involved in the construction industry. Twenty-five percent of cases were found to have tendon, nerve or joint involvement at operation. None of the injuries required anything more than meticulous wound toilet. To our knowledge, this is the first large study to clinically document the actual hand injuries caused by nail guns. An analysis of our treatment patterns suggests a low risk from surgical exploration with several potential benefits.

References

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Citations

Dec 17, 2009·The Journal of Trauma·Berdine M BurgerEsther M Bowie
Apr 2, 2013·The Journal of Hand Surgery·Peter C RheeSanjeev Kakar
Apr 20, 2010·Forensic Science International : Synergy·Matthias FrankAxel Ekkernkamp
Feb 2, 2010·Forensic Science International : Synergy·Matthias FrankPeter Hinz
Dec 7, 2013·Emergency Medicine Australasia : EMA·Shi-Neng James LingJohn Bevan North
Sep 8, 2010·Journal of Trauma Management & Outcomes·Matthias FrankPeter Hinz
Mar 13, 2015·British Journal of Hospital Medicine·I RoushdiB A Rogers
Aug 14, 2019·Orthopedics·Jonathon M SpanyerMadhusudhan R Yakkanti

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