Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration

High-pressure injection injuries with paint have long been heralded as a condition requiring timely and aggressive debridement with relatively poor functional outcomes and a significant proportion of patients progressing to require amputation of the involved digit or limb. Catheter irrigation is reg...

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Autores principales: Jeyaratnam Shubashri, McGrouther Duncan Angus
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/d4e3ff72230c44768a892ab4c5019c6d
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spelling oai:doaj.org-article:d4e3ff72230c44768a892ab4c5019c6d2021-12-02T05:02:06ZCatheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration2352-587810.1016/j.jpra.2021.08.004https://doaj.org/article/d4e3ff72230c44768a892ab4c5019c6d2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352587821000759https://doaj.org/toc/2352-5878High-pressure injection injuries with paint have long been heralded as a condition requiring timely and aggressive debridement with relatively poor functional outcomes and a significant proportion of patients progressing to require amputation of the involved digit or limb. Catheter irrigation is regularly used in the treatment of common hand infections and wounds. However, this has not been described for the treatment of paint injection injuries. We describe a case of a young painter who sustained an accidental water-based paint injection injury and was successfully treated with minimally invasive surgical debridement augmented by the use of catheter irrigation, despite a delayed presentation. The patient had regained full function of his hand by four months from the index presentation and returned to work. We illustrate how not all high-pressure injection injuries require an extensive incision and that catheter irrigation can be a significant tool to augment a minimally invasive approach.Jeyaratnam ShubashriMcGrouther Duncan AngusElsevierarticleSurgeryRD1-811ENJPRAS Open, Vol 30, Iss , Pp 138-145 (2021)
institution DOAJ
collection DOAJ
language EN
topic Surgery
RD1-811
spellingShingle Surgery
RD1-811
Jeyaratnam Shubashri
McGrouther Duncan Angus
Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration
description High-pressure injection injuries with paint have long been heralded as a condition requiring timely and aggressive debridement with relatively poor functional outcomes and a significant proportion of patients progressing to require amputation of the involved digit or limb. Catheter irrigation is regularly used in the treatment of common hand infections and wounds. However, this has not been described for the treatment of paint injection injuries. We describe a case of a young painter who sustained an accidental water-based paint injection injury and was successfully treated with minimally invasive surgical debridement augmented by the use of catheter irrigation, despite a delayed presentation. The patient had regained full function of his hand by four months from the index presentation and returned to work. We illustrate how not all high-pressure injection injuries require an extensive incision and that catheter irrigation can be a significant tool to augment a minimally invasive approach.
format article
author Jeyaratnam Shubashri
McGrouther Duncan Angus
author_facet Jeyaratnam Shubashri
McGrouther Duncan Angus
author_sort Jeyaratnam Shubashri
title Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration
title_short Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration
title_full Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration
title_fullStr Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration
title_full_unstemmed Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration
title_sort catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration
publisher Elsevier
publishDate 2021
url https://doaj.org/article/d4e3ff72230c44768a892ab4c5019c6d
work_keys_str_mv AT jeyaratnamshubashri catheterirrigationasanunutilizednoveltyinthetreatmentofwaterbasedpaintinjectioninjuriesacaseillustration
AT mcgroutherduncanangus catheterirrigationasanunutilizednoveltyinthetreatmentofwaterbasedpaintinjectioninjuriesacaseillustration
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