Blast injury of the finger caused by mobile battery explosion: A case report

Lithium-ion batteries can cause several types of injuries upon explosion due to misfire. We report a case in which a mobile battery explosion resulted in high-pressure injection of metal debris into a small entry point on the skin creating puncture wounds on a patient's index finger, necessitat...

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Autores principales: Suguru Hagiwara, Tsuneari Takahashi, Takashi Ajiki, Tomoko Horii, Mikiko Handa, Tomohiro Matsumura, Katsushi Takeshita
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/5e09f1a525f84de9bcfdd7f72c971979
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spelling oai:doaj.org-article:5e09f1a525f84de9bcfdd7f72c9719792021-11-10T04:28:55ZBlast injury of the finger caused by mobile battery explosion: A case report2352-644010.1016/j.tcr.2021.100551https://doaj.org/article/5e09f1a525f84de9bcfdd7f72c9719792021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352644021001564https://doaj.org/toc/2352-6440Lithium-ion batteries can cause several types of injuries upon explosion due to misfire. We report a case in which a mobile battery explosion resulted in high-pressure injection of metal debris into a small entry point on the skin creating puncture wounds on a patient's index finger, necessitating surgical intervention for massive debridement. A healthy 45-year-old, right-hand-dominant woman presented to the emergency department 4 h after a mobile battery had exploded in her left hand, causing burns to the left index finger. The battery had exploded due to misfire because the patient had accidentally hit it with a hammer. Radiographs of the index finger demonstrated foreign material extending from the fingertip to the ulnar proximal phalanx along the flexor tendon sheath, which was consistent with a high-pressure injection injury. She underwent semiurgent incision, irrigation, and debridement of the left index finger the day after the injury. The wound healed uneventfully within a month. At the 6-month follow-up, the palm-to-tip distance was 1 cm, and sensation at the tip was recovered. Compositional analysis of the debris revealed that the two major elements were aluminum and nickel (both less than 10%); lithium constituted less than 1% of the debris, a level deemed safe in humans. The protocol of semiurgent incision, irrigation, and debridement was safe and effective in the treatment of the injection injury caused by the mobile battery explosion.Suguru HagiwaraTsuneari TakahashiTakashi AjikiTomoko HoriiMikiko HandaTomohiro MatsumuraKatsushi TakeshitaElsevierarticleMobile batteryExplosionHigh-pressure injection injuryDebridementCompositional analysisSurgeryRD1-811ENTrauma Case Reports, Vol 36, Iss , Pp 100551- (2021)
institution DOAJ
collection DOAJ
language EN
topic Mobile battery
Explosion
High-pressure injection injury
Debridement
Compositional analysis
Surgery
RD1-811
spellingShingle Mobile battery
Explosion
High-pressure injection injury
Debridement
Compositional analysis
Surgery
RD1-811
Suguru Hagiwara
Tsuneari Takahashi
Takashi Ajiki
Tomoko Horii
Mikiko Handa
Tomohiro Matsumura
Katsushi Takeshita
Blast injury of the finger caused by mobile battery explosion: A case report
description Lithium-ion batteries can cause several types of injuries upon explosion due to misfire. We report a case in which a mobile battery explosion resulted in high-pressure injection of metal debris into a small entry point on the skin creating puncture wounds on a patient's index finger, necessitating surgical intervention for massive debridement. A healthy 45-year-old, right-hand-dominant woman presented to the emergency department 4 h after a mobile battery had exploded in her left hand, causing burns to the left index finger. The battery had exploded due to misfire because the patient had accidentally hit it with a hammer. Radiographs of the index finger demonstrated foreign material extending from the fingertip to the ulnar proximal phalanx along the flexor tendon sheath, which was consistent with a high-pressure injection injury. She underwent semiurgent incision, irrigation, and debridement of the left index finger the day after the injury. The wound healed uneventfully within a month. At the 6-month follow-up, the palm-to-tip distance was 1 cm, and sensation at the tip was recovered. Compositional analysis of the debris revealed that the two major elements were aluminum and nickel (both less than 10%); lithium constituted less than 1% of the debris, a level deemed safe in humans. The protocol of semiurgent incision, irrigation, and debridement was safe and effective in the treatment of the injection injury caused by the mobile battery explosion.
format article
author Suguru Hagiwara
Tsuneari Takahashi
Takashi Ajiki
Tomoko Horii
Mikiko Handa
Tomohiro Matsumura
Katsushi Takeshita
author_facet Suguru Hagiwara
Tsuneari Takahashi
Takashi Ajiki
Tomoko Horii
Mikiko Handa
Tomohiro Matsumura
Katsushi Takeshita
author_sort Suguru Hagiwara
title Blast injury of the finger caused by mobile battery explosion: A case report
title_short Blast injury of the finger caused by mobile battery explosion: A case report
title_full Blast injury of the finger caused by mobile battery explosion: A case report
title_fullStr Blast injury of the finger caused by mobile battery explosion: A case report
title_full_unstemmed Blast injury of the finger caused by mobile battery explosion: A case report
title_sort blast injury of the finger caused by mobile battery explosion: a case report
publisher Elsevier
publishDate 2021
url https://doaj.org/article/5e09f1a525f84de9bcfdd7f72c971979
work_keys_str_mv AT suguruhagiwara blastinjuryofthefingercausedbymobilebatteryexplosionacasereport
AT tsunearitakahashi blastinjuryofthefingercausedbymobilebatteryexplosionacasereport
AT takashiajiki blastinjuryofthefingercausedbymobilebatteryexplosionacasereport
AT tomokohorii blastinjuryofthefingercausedbymobilebatteryexplosionacasereport
AT mikikohanda blastinjuryofthefingercausedbymobilebatteryexplosionacasereport
AT tomohiromatsumura blastinjuryofthefingercausedbymobilebatteryexplosionacasereport
AT katsushitakeshita blastinjuryofthefingercausedbymobilebatteryexplosionacasereport
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