Management of High-Pressure Injection Hand Injuries: A Multicentric, Retrospective, Observational Study

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Abstract

Hand injuries after high-pressure injection are a medical emergency. These events occurfrequently in workers during industrial cleaning, painting, and lubrication, and may have devastatingconsequences, leading to eventual amputation and poor functional outcomes. The authors haveinvestigated the evolution, management, and outcome. Medical records of occupational medicineunits and hand surgery units were collected in order to spot the high-pressure gear accident cases.Records were analyzed by dividing the subjects into two groups: those treated within 6 h and after 6 hof the trauma. A follow-up was carried out at least 1 year after treatment; the post-treatment outcomeswere assessed. Of the 71 (100%) subjects, 26 (37%) were treated ≤6 h and 45 (63%) >6 h. A total of 28% (n = 20) underwent amputation. In 61% of cases, accidents had occurred in the iron and steel sector.High viscosity materials with a delayed treatment beyond 6 h seemed to determine compartmentalsyndrome and following amputation. A significantly better outcome was reported among subjectstreated ≤6 h compared to those treated >6 h, 20% (n = 7) versus 26% (n = 9), respectively. Earlymanagement of this type of injury is crucial. The results of this study may contribute to providingguidelines to occupational physicians in order to best manage this type of emergency
Lingua originaleEnglish
pagine (da-a)1-10
Numero di pagine10
RivistaJournal of Clinical Medicine
Volume8
Stato di pubblicazionePublished - 2019

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