title: [Urgent nature and severity of lesions due to high pressure injections in the hand].
abstract: High pressure injections in the hand and fingers are relatively rare accidents, but are responsible for serious lesions. Only extremely urgent treatment can minimise the aesthetic and functional sequelae. This treatment must include debridement of the portal of entry, exposure of all the contused and devitalised tissues and broad spectrum antibiotics. The postoperative course must include long and patient rehabilitation for these lesions which actually correspond to severe contusion of the hand and fingers associated with a high risk of septic dissemination. The authors describe these lesions based on a series of 20 consecutive cases.
authors.affiliation: SOS Main, Centre Hospitalier Régional de Grenoble.
authors.forename: F
authors.initials: F
authors.lastname: Moutet
authors.forename: J P
authors.initials: JP
authors.lastname: Lantuejoul
authors.forename: D
authors.initials: D
authors.lastname: Guinard
authors.forename: P
authors.initials: P
authors.lastname: Gérard
mesh_terms: D000671:Amputation, Surgical; D003646:Debridement; D004630:Emergencies; D005602:France / Q000453:epidemiology; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D010150:Paint / Q000009:adverse effects*; D011859:Radiography; D012997:Solvents / Q000009:adverse effects*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*
chemical_list: D012997:Solvents
vernacular_title: Caractère d'urgence et de gravité des lésions dues aux injections à haute pression au niveau de la main.