Treatment of High-Pressure Water Gun Injection Injury of the Foot with Adjunctive Hyperbaric Oxygen: A Case Report

Foot & Ankle ◽  
1989 ◽  
Vol 10 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Jason H. Calhoun ◽  
William J. Gogan ◽  
Steven F. Viegas ◽  
John T. Mader
Keyword(s):  
High Pressure ◽  
Case Report ◽  
Compartment Syndrome ◽  
Hyperbaric Oxygen ◽  
Subcutaneous Emphysema ◽  
Tissue Damage ◽  
Injection Injury ◽  
Pressure Injection ◽  
Pressure Water ◽  
High Pressure Injection

High-pressure injection injuries are reported often in the hand and occasionally in the foot. Injection with water and air causes minimal tissue damage but nevertheless requires irrigation, minimal debridement, administration of antibiotics, and concern for development of compartment syndrome. The outcome for patients injected with water and air should be excellent. Adjunctive hyperbaric oxygen causes immediate resolution of subcutaneous emphysema, edema, and pain for more rapid rehabilitation.

Subcutaneous Emphysema following High-pressure Injection Injury of Inert Gas

1987 ◽  
Vol 21 (11) ◽  
pp. 1305-1306 ◽  
Author(s):  
ISRAEL CASPI ◽  
ERAN LIN ◽  
JACOBO NERUBAY ◽  
ELI EZRA ◽  
HENRI HOROSZOWSKI
Keyword(s):  
High Pressure ◽  
Subcutaneous Emphysema ◽  
Inert Gas ◽  
Injection Injury ◽  
Pressure Injection ◽  
High Pressure Injection

scholarly journals High-Pressure Injection Injury of the Face: A Case Report on Presentation and Management

2020 ◽  
Vol 4 (2) ◽  
pp. 211-213
Author(s):  
Edan Zitelny ◽  
Blake Briggs ◽  
Rachel Little ◽  
David Masneri
Keyword(s):  
High Pressure ◽  
Case Report ◽  
Young Male ◽  
Rare Presentation ◽  
Injection Injury ◽  
Pressure Injection ◽  
Time Sensitivity ◽  
The Face ◽  
Extensive Debridement ◽  
High Pressure Injection

Introduction: High-pressure injection injuries have been chronicled for decades. These injuries often affect distal extremities as they are most commonly involved in workplace accidents. However, we discuss a young male with a paint-gun injection injury to his face. Case Report: We discuss the case of a young man presenting to the emergency department after high-pressure injection injury to the face. He eventually underwent extensive debridement of the face. We discuss differences in caring for an injection wound to an extremity versus the face, including time sensitivity of treatment, initial stabilizing measures, and critical steps. Discussion: This case demonstrates a rare presentation of a high-pressure paint injection injury. This injury presented a unique surgical challenge where, despite compartment syndrome being less common, cosmetic outcome and infectious complication prevention remained critical priorities. Conclusion: While similarities exist in management of an injection injury to a limb, due to the rarity and deceptive appearance of this particular injury to the face, high suspicion along with urgent imaging and surgical consultation is warranted.

High Pressure Subcutaneous Injection of Air and Nepheline Syenite Into the Lower Limb From a Sandblasting Accident

1995 ◽  
Vol 3 (1) ◽  
pp. 45-46
Author(s):  
Trevor Born ◽  
Ron Levine
Keyword(s):  
High Pressure ◽  
Case Report ◽  
Lower Limb ◽  
Subcutaneous Injection ◽  
Nepheline Syenite ◽  
Injection Injury ◽  
Pressure Injection ◽  
High Pressure Injection

This is a case report of a high pressure injection injury to the lower limb that resulted from a sandblasting hose. The management of the patient's injury, as well as the current concepts of the treatment of high pressure injection injuries, are described.

Acinetobacter calcoaceticus Foot Infection Secondary to High-pressure Injection Injury: A Case Report

Foot & Ankle ◽  
1988 ◽  
Vol 8 (4) ◽  
pp. 216-222 ◽  
Author(s):  
John Wesley Dietz ◽  
Jacob Allan Goodrich ◽  
William Bruce Brown
Keyword(s):  
High Pressure ◽  
Acinetobacter Calcoaceticus ◽  
Injection Injury ◽  
Pressure Injection ◽  
Orthopaedic Infections ◽  
Surgical Emergencies ◽  
Extensor Hallucis Longus ◽  
Pressure Water ◽  
Principles Of Treatment ◽  
High Pressure Injection

Injection injuries are surgical emergencies occurring most often in the hand and frequently associated with widespread tissue necrosis and infection. This report presents a case of high-pressure injection injury of the foot associated with extensor hallucis longus laceration and infection with Acinetobacter calcoaceticus variant anitratus. This injury occurred with a high-pressure “water-blaster” tool used to remove paint from pavement. Similar injuries in the foot have not been reported. A. calcoaceticus is a widely distributed normal flora of low virulence, often waterborne, which is rarely found in orthopaedic infections in young healthy patients. Clinical features of high-pressure injection injuries, principles of treatment, and the characteristics of A. calcoaceticus are reviewed.

scholarly journals Extensive high-pressure injection injury of the hand due to epoxy resin paint: a case report

2021 ◽  
Vol 8 (1) ◽  
pp. 56-62
Author(s):  
Gaku Niitsuma ◽  
Hidechika Nakashima ◽  
Takushi Nagai ◽  
Kenichirou Teramoto ◽  
Keikichi Kawasaki ◽  
...  
Keyword(s):  
High Pressure ◽  
Case Report ◽  
Epoxy Resin ◽  
Injection Injury ◽  
Pressure Injection ◽  
High Pressure Injection

scholarly journals High-pressure injection injury: a case report and systematic review

2019 ◽  
Vol 6 (1) ◽  
pp. 153-158
Author(s):  
Annica C. Eells ◽  
Matthew McRae ◽  
Rudolf F. Buntic ◽  
Daniel Boczar ◽  
Jeremie D. Oliver ◽  
...  
Keyword(s):  
Systematic Review ◽  
High Pressure ◽  
Case Report ◽  
Injection Injury ◽  
Pressure Injection ◽  
High Pressure Injection

Non-operative management of a high-pressure water injection injury to the hand

CJEM ◽  
2005 ◽  
Vol 7 (02) ◽  
pp. 124-126 ◽  
Author(s):  
Jaime T. Snarski ◽  
Robert H. Birkhahn
Keyword(s):  
High Pressure ◽  
Management Strategies ◽  
Water Injection ◽  
Operative Management ◽  
Work Related ◽  
Injection Injury ◽  
Pressure Injection ◽  
Pressure Water ◽  
Non Operative Management ◽  
High Pressure Injection

ABSTRACTHigh-pressure injection injuries to the hand are work-related injuries that can take a devastating toll on the functionality of the affected extremity. Chemical injections are a surgical emergency. Injuries involving only water injection are rarer and have variable management strategies. We report a case of high-pressure injection hand injury due to water only. The patient was managed non-operatively with parenteral antibiotics, narcotics and elevation, with good outcome. We present a review of the literature on high-pressure injection injury.

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