Citation

Cannon TA. Orthop. Clin. North Am. 2016; 47(3): 617-624.

Affiliation

Tabor Orthopedics, 1244 Primacy Parkway, Memphis, TN 38117, USA. Electronic address: bluecannon15@gmail.com.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.ocl.2016.03.007

PMID

27241384

Abstract

High-pressure injection hand injuries are often overlooked, with severe complications owing to the acute inflammatory response. Prognosis for depends on the type of material injected, location of injection, involved pressure, and timing to surgical decompression and debridement. Acute management involves broad-spectrum antibiotics, tetanus prophylaxis, emergent decompression within 6 hours, and complete removal of the injected material. Most patients have residual sequelae of stiffness, pain, sensation loss, and difficulties in returning to work. The hand surgeon's role is prompt surgical intervention, early postoperative motion, and education of patient and staff regarding short- and long-term expectations.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en