title: High-pressure injection injuries of the hand: review of 25 patients managed by open wound technique.
abstract: This article reviews the outcome of injury of the hand in 25 patients treated at our institution by the open wound technique: wide débridement, drainage, open packing, and delayed closure. The results obtained are superior to those reported in the literature: Among the patients, 84% of the involved hands or fingers were salvaged, 64% had essentially normal hand function at the time of final follow-up, and 92% were able to return to their previous jobs. We propose that aggressive treatment by the open wound technique improves the outcome of high-pressure injection injuries of the hand.
authors.affiliation: Department of Orthopedics, Mayo Clinic, Rochester, MN 55905.
authors.forename: M R
authors.initials: MR
authors.lastname: Pinto
authors.forename: L D
authors.initials: LD
authors.lastname: Turkula-Pinto
authors.forename: W P
authors.initials: WP
authors.lastname: Cooney
authors.forename: M B
authors.initials: MB
authors.lastname: Wood
authors.forename: J H
authors.initials: JH
authors.lastname: Dobyns
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D006225:Hand / Q000000981:diagnostic imaging; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007267:Injections; D008297:Male; D008670:Metals; D009821:Oils; D010150:Paint; D011859:Radiography; D012997:Solvents
chemical_list: D008670:Metals; D009821:Oils; D012997:Solvents