title: [Wounds of the hand by injection of fluids under high pressure (author's transl)].
abstract: The result of mechanisation and technical improvements in industry, wounds by high pressure pistols are very serious. They are often neglected at first for they may be undiagnosed. To the toxicity of the injected product, which diffuses far from the minimal point of entry, may be added the destructive effect of the high pressure on the cell spaces of the hand, which are narrow and inextensible. Surgical treatment includes the association of antibiotics, anti-inflammatory drugs, analgesics and wide removal of the affected tissues as well as the foreign material. Active physiotherapy after immobilisation in a functional position, will permit recovery of satisfactory movements. Amputation is unfortunately often necessary, thus great efforts should be made to prevent work accidents.
mesh_terms: D000062:Accidents, Occupational; D000399:Air Pressure; D000671:Amputation, Surgical; D000700:Analgesics / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001274:Atmospheric Pressure; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000188:drug therapy / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008722:Methods; D009821:Oils / Q000009:adverse effects; D026741:Physical Therapy Modalities; D014946:Wound Infection / Q000517:prevention & control
chemical_list: D000700:Analgesics; D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D009821:Oils
vernacular_title: Les blessures de la main par injection de fluides sous haute pression.