Trauma center second opinion injection6/18/2023 In 3 patients a heterodigital flap was necessary whereas in one the second ray was amputated. Results: The total number of procedures per patient was 2 to 5. Five patients were referred with a mean delay of 3.8 days and 3 were treated immediately all with debridement and compartment release. In all patients the mild initial symptoms were aggravated over the next 4-6 hours leading to a severe compartment syndrome of the hand. Methods: Eight patients with injection injuries from lubricants (6) or solvents (2) were treated in a University Orthopaedic Department in a 5-year period. Aim: To underline the severity of these injuries and to alert physicians to recognize them and treat them appropriately. The injected substance leads to extensive tissue damage and sometimes to loss of the limb. Background: High-pressure injection injuries are rare injuries, characterized by a small puncture wound that is often underestimated by physicians and patients.
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