title: High-Pressure Water Swelling Sealant Injection Injury to the Hand: a Case Report and Review of the Literature.
abstract: High-pressure injection injuries (HPII) caused by water swelling sealant are rare at present. The patient generally has small-sized skin lesions, and the misleadingly benign presentation may cause delayed treatment at the early stage of management. In addition, radiographic examination may be underestimated. Subsequently, the inadequate surgical intervention may cause tissue necrosis and poor prognosis. Furthermore, the early recognition of water swelling sealant injected into tissue and emergent surgical intervention are the key to successful management for the patient with HPII caused by injecting water swelling sealant to tissue.
authors.affiliation: Department of Orthopedic, Affiliated Hospital of Hebei University of Engineering, 056002 Handan, Hebei Province People's Republic of China.
authors.forename: Yong-Tao
authors.initials: YT
authors.lastname: Zhang
authors.affiliation: Hand Surgery, Central Hospital of Handan, 056001 Handan, Hebei People's Republic of China.
authors.forename: Jun-Hong
authors.initials: JH
authors.lastname: Xue
keywords: Debridement; Flap; High-pressure injection injuries; Polyurethane; Water swelling sealant