Non-operative management of a high-pressure water injection injury to the hand

CJEM ◽  
2005 ◽  
Vol 7 (02) ◽  
pp. 124-126 ◽  
Author(s):  
Jaime T. Snarski ◽  
Robert H. Birkhahn
Keyword(s):  
High Pressure ◽  
Management Strategies ◽  
Water Injection ◽  
Operative Management ◽  
Work Related ◽  
Injection Injury ◽  
Pressure Injection ◽  
Pressure Water ◽  
Non Operative Management ◽  
High Pressure Injection

ABSTRACTHigh-pressure injection injuries to the hand are work-related injuries that can take a devastating toll on the functionality of the affected extremity. Chemical injections are a surgical emergency. Injuries involving only water injection are rarer and have variable management strategies. We report a case of high-pressure injection hand injury due to water only. The patient was managed non-operatively with parenteral antibiotics, narcotics and elevation, with good outcome. We present a review of the literature on high-pressure injection injury.

Acinetobacter calcoaceticus Foot Infection Secondary to High-pressure Injection Injury: A Case Report

Foot & Ankle ◽  
1988 ◽  
Vol 8 (4) ◽  
pp. 216-222 ◽  
Author(s):  
John Wesley Dietz ◽  
Jacob Allan Goodrich ◽  
William Bruce Brown
Keyword(s):  
High Pressure ◽  
Acinetobacter Calcoaceticus ◽  
Injection Injury ◽  
Pressure Injection ◽  
Orthopaedic Infections ◽  
Surgical Emergencies ◽  
Extensor Hallucis Longus ◽  
Pressure Water ◽  
Principles Of Treatment ◽  
High Pressure Injection

Injection injuries are surgical emergencies occurring most often in the hand and frequently associated with widespread tissue necrosis and infection. This report presents a case of high-pressure injection injury of the foot associated with extensor hallucis longus laceration and infection with Acinetobacter calcoaceticus variant anitratus. This injury occurred with a high-pressure “water-blaster” tool used to remove paint from pavement. Similar injuries in the foot have not been reported. A. calcoaceticus is a widely distributed normal flora of low virulence, often waterborne, which is rarely found in orthopaedic infections in young healthy patients. Clinical features of high-pressure injection injuries, principles of treatment, and the characteristics of A. calcoaceticus are reviewed.

Treatment of High-Pressure Water Gun Injection Injury of the Foot with Adjunctive Hyperbaric Oxygen: A Case Report

Foot & Ankle ◽  
1989 ◽  
Vol 10 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Jason H. Calhoun ◽  
William J. Gogan ◽  
Steven F. Viegas ◽  
John T. Mader
Keyword(s):  
High Pressure ◽  
Case Report ◽  
Compartment Syndrome ◽  
Hyperbaric Oxygen ◽  
Subcutaneous Emphysema ◽  
Tissue Damage ◽  
Injection Injury ◽  
Pressure Injection ◽  
Pressure Water ◽  
High Pressure Injection

High-pressure injection injuries are reported often in the hand and occasionally in the foot. Injection with water and air causes minimal tissue damage but nevertheless requires irrigation, minimal debridement, administration of antibiotics, and concern for development of compartment syndrome. The outcome for patients injected with water and air should be excellent. Adjunctive hyperbaric oxygen causes immediate resolution of subcutaneous emphysema, edema, and pain for more rapid rehabilitation.

High-Pressure Injection Injury

2017 ◽  
pp. 27-29
Author(s):  
Melvin C. Makhni ◽  
Eric C. Makhni ◽  
Eric F. Swart ◽  
Charles S. Day
Keyword(s):  
High Pressure ◽  
Injection Injury ◽  
Pressure Injection ◽  
High Pressure Injection

Subcutaneous Emphysema following High-pressure Injection Injury of Inert Gas

1987 ◽  
Vol 21 (11) ◽  
pp. 1305-1306 ◽  
Author(s):  
ISRAEL CASPI ◽  
ERAN LIN ◽  
JACOBO NERUBAY ◽  
ELI EZRA ◽  
HENRI HOROSZOWSKI
Keyword(s):  
High Pressure ◽  
Subcutaneous Emphysema ◽  
Inert Gas ◽  
Injection Injury ◽  
Pressure Injection ◽  
High Pressure Injection

Soft tissue injuries of the hand

2011 ◽  
Author(s):  
David Warwick ◽  
Roderick Dunn ◽  
Erman Melikyan ◽  
Jane Vadher
Keyword(s):  
High Pressure ◽  
Wound Care ◽  
Soft Tissue Injuries ◽  
Gunshot Wounds ◽  
Cold Sensitivity ◽  
Collateral Ligaments ◽  
Injection Injury ◽  
Pressure Injection ◽  
Microvascular Replantation ◽  
High Pressure Injection

Wound care 154Cold sensitivity 155Microvascular replantation 156Revascularization162Amputations164Nail injury170High-pressure injection injury174Extravasation injury176Gunshot wounds178Burns180Frostbite186Factitious injury (Secretans's)189• Thorough cleaning• Dressings• Splints:• Position of safe immobilization (POSI), joints with the collateral ligaments in the longest position preventing contractures....

High-Pressure Injection Injury Involving a 2-PAM Chloride Autoinjector

1992 ◽  
Vol 157 (8) ◽  
pp. 434-436 ◽  
Author(s):  
Jan Combs ◽  
Leo Hise ◽  
Randolph Copeland
Keyword(s):  
High Pressure ◽  
Injection Injury ◽  
Pressure Injection ◽  
High Pressure Injection

High-Pressure Injection Injury in a Patient With a History of Gout

2019 ◽  
Vol 26 (8) ◽  
pp. e321-e321
Author(s):  
Yasmin Sabet ◽  
Alireza Meysami ◽  
Bernard Rubin
Keyword(s):  
High Pressure ◽  
Injection Injury ◽  
Pressure Injection ◽  
History Of ◽  
High Pressure Injection

An unusual high-pressure injection injury involving the cervical spinal cord

2011 ◽  
Vol 93-B (8) ◽  
pp. 1140-1142
Author(s):  
X. Gao ◽  
Q.-H. Wu ◽  
W.-S. Chen ◽  
Q.-X. Chen ◽  
K. Xu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
High Pressure ◽  
Cervical Spinal Cord ◽  
Injection Injury ◽  
Pressure Injection ◽  
High Pressure Injection
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