title: High-pressure injection injuries.
abstract: A retrospective review of the 11 patients attending the Hand Unit at the Derbyshire Royal Infirmary over the last 5 years with high-pressure injection injuries is presented. The machines and materials that cause these injuries are outlined and the methods of treatment and rehabilitation are described in detail. The study demonstrates the morbidity of high-pressure injection injuries, particularly those inflicted by paint spray guns, and highlights a frequent delay between injury and decompression of the injured part. We wish to emphasize the importance of early diagnosis, referral, exploration and rehabilitation to ensure an optimal outcome, and to point out that failure to refer early is becoming an increasing focus of negligence claims.
authors.affiliation: Department of Hand Surgery, Derbyshire Royal Infirmary, UK.
authors.forename: N C
authors.initials: NC
authors.lastname: Neal
authors.forename: F D
authors.initials: FD
authors.lastname: Burke
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D001469:Barotrauma / Q000209:etiology* / Q000601:surgery; D006230:Hand Injuries / Q000209:etiology* / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009821:Oils / Q000009:adverse effects; D010150:Paint / Q000009:adverse effects; D012189:Retrospective Studies; D013997:Time Factors; D014950:Wounds, Penetrating / Q000209:etiology* / Q000601:surgery
chemical_list: D009821:Oils