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The Journal of Bone and Joint Surgery, Vol 57, Issue 7 935-937, Copyright © 1975 by Journal of Bone and Joint Surgery, Inc

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High-pressure injection injuries of the hand

RH Gelberman, JL Posch and JM Jurist

In high-pressure injection injuries to the hand the most commonly injected materials are automotive grease, diesel oil, and paint. We treated twenty-six patients with high-pressure injection injuries of the hand and found that the injection of paint resulted in a poorer prognosis than did the injection of grease. Amputation is often necessary with paint injections into a digit, while injections into the palm have a somewhat better prognosis. The disability time of patients with paint-injection injuries appeared to be directly related to the time elapsed until amputation of the involved digit. Although we were unable to specifically relate the ultimate result to the time elapsed between injury and proper treatment, we continue to recommend early aggressive wide debridement of these injuries.
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