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Latex Paint-gun Injuries of the Hand: Are the Outcomes Better?

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HAND

Abstract

This study aims to present the functional outcome in patients who sustained paint-gun injuries to the hand with latex paint and review the current trends, recommendations, and pitfalls of surgical treatment in contemporary literature. Five male patients with an average age of 35 years were treated between 2000 and 2003 after sustaining a paint-gun injury with latex paint. All wounds were located volarly on the digits of the nondominant hand. Preoperative radiographs were obtained in every patient. All patients underwent debridement of the affected digit. Despite delayed presentation, more than 24 h post injury, our patients recovered substantial function at an average follow-up of 12 months. Every patient returned to his previous occupation and there were no amputations. Paint-gun injuries with latex paint appear to be associated with an outcome that is superior to the poor outcome traditionally associated with oil-based paints.

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References

  1. Atkinson RE. Injection injuries of the hand: caveat doctor. Hawaii Med J 1989;48(9):364–6.

    PubMed  CAS  Google Scholar 

  2. Edlich RF, Rodeheaver GT, Edgerton MT. Airless paint gun injuries: an update. JACEP 1978;7(11):397–400.

    PubMed  CAS  Google Scholar 

  3. Failla JM, Linden MD. The acute pathologic changes of paint-injection injury and correlation to surgical treatment: a report of two cases. J Hand Surg Am 1997;22(1):156–9.

    Article  PubMed  CAS  Google Scholar 

  4. Gelberman RH, Posch JL, Jurist JM. High-pressure injection injuries of the hand. J Bone Joint Surg Am 1975;57(7):935–7.

    PubMed  CAS  Google Scholar 

  5. Gillespie CA, Rodeheaver GT, Smith S, Edgerton MT, Edlich RF. Airless paint gun injuries: definition and management. Am J Surg 1974;128(3):383–91.

    Article  PubMed  CAS  Google Scholar 

  6. Gruner O. Sproyte-og Smorespistol skader. Skader ved hoytrykksprut frasma a pninger, oppstaelsesmate og behandling. Tidsskritt for den Norske Laegeforening. 1963;83:1263.

  7. Gutowski KA, Chu J, Choi M, Friedman DW. High-pressure hand injection injuries caused by dry cleaning solvents: case reports, review of the literature, and treatment guidelines. Plast Reconstr Surg 2003;111(1):174–7.

    Article  PubMed  Google Scholar 

  8. Hayes CW, Pan HC. High-pressure injection injuries to the hand. South Med J 1982;75(12):1491–8.

    PubMed  CAS  Google Scholar 

  9. Hogan CJ, Ruland RT. High-pressure injection injuries to the upper extremity: a review of the literature. J Orthop Trauma 2006;20(7):503–11.

    Article  PubMed  Google Scholar 

  10. Jebson PJ, Sanderson M, Rao VK, Engber WD. High-pressure injection injuries of the hand. Wis Med J 1993;92(1):13–6.

    PubMed  CAS  Google Scholar 

  11. Kaufman HD. High pressure injection injuries, the problems, pathogenesis and management. Hand 1970;2(1):63–73.

    Article  PubMed  CAS  Google Scholar 

  12. Kaufman HD. The anatomy of experimentally produced high-pressure injection injuries of the hand. Br J Surg 1968a;55(5):340–4.

    Article  PubMed  CAS  Google Scholar 

  13. Kaufman HD. The clinicopathological correlation of high-pressure injection injuries. Br J Surg 1968b;55(3):214–8.

    Article  PubMed  CAS  Google Scholar 

  14. Lewis HG, Clarke P, Kneafsey B, Brennen MD. A 10-year review of high-pressure injection injuries to the hand. J Hand Surg Br 1998;23(4):479–81.

    PubMed  CAS  Google Scholar 

  15. Lewis RC Jr. High-compression injection injuries to the hand. Emerg Med Clin North Am 1985;3(2):373–81.

    PubMed  Google Scholar 

  16. Mann RJ. Paint and grease gun injuries of the hand. JAMA 1975;231(9):933.

    Article  PubMed  CAS  Google Scholar 

  17. Mirzayan R, Schnall SB, Chon JH, Holtom PD, Patzakis MJ, Stevanovic MV. Culture results and amputation rates in high-pressure paint gun injuries of the hand. Orthopedics 2001;24(6):587–9.

    PubMed  CAS  Google Scholar 

  18. Morley R. Injuries due to accidental injection of paint from high-pressure paint guns. Br Med J 1967;1(5531):25–6.

    Article  PubMed  CAS  Google Scholar 

  19. Neal NC, Burke FD. High-pressure injection injuries. Injury 1991;22(6):467–70.

    Article  PubMed  CAS  Google Scholar 

  20. O’Reilly RJ, Blatt G. Accidental high-pressure injection-gun injuries of the hand; the role of the emergency radiologic examination. J Trauma 1975;15(1):24–31.

    PubMed  CAS  Google Scholar 

  21. Phelps DB, Hastings H II, Boswick JA Jr. Systemic corticosteroid therapy for high-pressure injection injuries of the hand. J Trauma 1977;17(3):206–10.

    PubMed  CAS  Google Scholar 

  22. Ramos H, Posch JL, Lie KK. High-pressure injection injuries of the hand. Plast Reconstr Surg 1970;45(3):221–6.

    Article  PubMed  CAS  Google Scholar 

  23. Remark FL, Weeks PM. Airless paint gun injury of the hand. A surgical emergency. Mo Med 1972;69(3):196–9.

    PubMed  CAS  Google Scholar 

  24. Schnall SB, Mirzayan R. High-pressure injection injuries to the hand. Hand Clin 1999;15(2):245–8.

    PubMed  CAS  Google Scholar 

  25. Schoo MJ, Scott FA, Boswick JA Jr. High-pressure injection injuries of the hand. J Trauma 1980;20(3):229–38.

    PubMed  CAS  Google Scholar 

  26. Scott AR. Occupational high-pressure injection injuries: pathogenesis and prevention. J Soc Occup Med 1983;33(2):56–9.

    Article  PubMed  CAS  Google Scholar 

  27. Smith GH, R. The predictive value of radiographic findings in high pressure injection injuries of the hand. Proceeding of the 4th Combined Meeting of the American and Japanese Societies for Surgery of the Hand, Honolulu, Hawaii, ASSH; 2004.

  28. Stark HH, Ashworth CR, Boyes JH. Paint-gun injuries of the hand. J Bone Joint Surg Am 1967;49(4):637–47.

    PubMed  CAS  Google Scholar 

  29. Thakore HK. Hand injury with paint-gun. J Hand Surg Br 1985;10(1):124–6.

    Article  PubMed  CAS  Google Scholar 

  30. Valentino M, Rapisarda V, Fenga C. Hand injuries due to high-pressure injection devices for painting in shipyards: circumstances, management, and outcome in twelve patients. Am J Ind Med 2003;43(5):539–42.

    Article  PubMed  Google Scholar 

  31. Vente JP, Bolhuis RJ. Airless paint-gun injuries of the hand: a report of three cases. Injury 1984;16(2):91–3.

    Article  PubMed  CAS  Google Scholar 

  32. Vilke GM, Snyder B. High pressure paint spray gun injury. J Emerg Med 2002;23(2):203–4.

    Article  PubMed  Google Scholar 

  33. Walton S. Injection gun injury of the hand with anticorrosive paint and paint solvent. A case report. Clin Orthop Relat Res 1971;74:141–5.

    PubMed  CAS  Google Scholar 

  34. Weeks PM. Airless paint gun injuries of the hand. J Ky Med Assoc 1967;65(11):1086–9.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Harvard Medical School, Boston, MA, USA

    Santiago A. Lozano-Calderón, Chaitanya S. Mudgal & David Ring

  2. Orthopaedic Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Yawkey Center Suite 2100, 55 Fruit Street, Boston, MA, 02114, USA

    Santiago A. Lozano-Calderón, Chaitanya S. Mudgal & David Ring

  3. Division of Occupational Medicine, Cambridge Hospital, Cambridge, MA, USA

    Sharmila Mudgal

Authors
  1. Santiago A. Lozano-Calderón
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  2. Chaitanya S. Mudgal
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  3. Sharmila Mudgal
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  4. David Ring
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Correspondence to Chaitanya S. Mudgal.

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Lozano-Calderón, S.A., Mudgal, C.S., Mudgal, S. et al. Latex Paint-gun Injuries of the Hand: Are the Outcomes Better?. HAND 3, 340–345 (2008). https://doi.org/10.1007/s11552-008-9110-6

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  • DOI: https://doi.org/10.1007/s11552-008-9110-6

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