High-pressure injection injury

Revision as of 04:12, 27 September 2011 by Jswartz (talk | contribs) (Created page with "==Background== *Occurs with grease, paint, and fuel guns; usually into non-dominant hand *Surgical emergency **Amputation rates are as high as 30% ==Diagnosis== *Benign appearan...")
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Background

  • Occurs with grease, paint, and fuel guns; usually into non-dominant hand
  • Surgical emergency
    • Amputation rates are as high as 30%

Diagnosis

  • Benign appearance of small injection site in immediate postinjection period is misleading
    • With time digit becomes edematous, pale, and severely tender to palpation
  • X-ray
    • May show extent of injection of radiopaque substances

Treatment

  • Early surgical decompression and debridement
  • Immobilize and elevate affected hand
  • Tetanus
  • Abx

Source

Tintinalli

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