Warning: this may be as dangerous as firearm injuries;“grease-gun injury”: a case report

High-pressure injection gun (Grease-gun) injuries mainly occur with industrial labourers. Injuries associated with high pressure grease guns are very rare and frequently involve the hand and chest. The non-dominant hand is generally injured since the grease gun is usually held in the dominant hand....

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Main Authors: Oguz Eroglu, Elif Sari, Sevilay Vural, Figen Coskun
Format: Article
Language:English
Published: The Pan African Medical Journal 2015-01-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/20/40/pdf/40.pdf
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author Oguz Eroglu
Elif Sari
Sevilay Vural
Figen Coskun
author_facet Oguz Eroglu
Elif Sari
Sevilay Vural
Figen Coskun
author_sort Oguz Eroglu
collection DOAJ
description High-pressure injection gun (Grease-gun) injuries mainly occur with industrial labourers. Injuries associated with high pressure grease guns are very rare and frequently involve the hand and chest. The non-dominant hand is generally injured since the grease gun is usually held in the dominant hand. Even if high-pressure injection injury causes only a small lesion in the skin, it is still characterized by severe damage to subcutaneous tissue. Since initial presentation may be deceptive, treatment is frequently delayed. The characteristics of the material injected need to be known as a priority, and systemic intoxication must be ruled out. The risk of amputation is 16-55%. With solvents it goes up to 50-80%. Surgical treatment must be performed immediately, under general anesthesia or plexus block. Foreign material and necrotic tissue must be early debrided with wide microsurgical exploration. Positive outcomes in reacquisition of hand functions can be obtained with long-term and early physiotherapy.
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spelling doaj.art-36006a06666e4d22bdcc37881f20ac8a2022-12-22T01:34:11ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882015-01-01204010.11604/pamj.2015.20.40.58925892Warning: this may be as dangerous as firearm injuries;“grease-gun injury”: a case reportOguz Eroglu0Elif Sari1Sevilay Vural2Figen Coskun3 Department of Emergency Medicine, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey Department of Plastic and Reconstructive Surgery, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey Department of Emergency Medicine Bartin State Hospital,Bartin,Turkey Department of Emergency Medicine, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey High-pressure injection gun (Grease-gun) injuries mainly occur with industrial labourers. Injuries associated with high pressure grease guns are very rare and frequently involve the hand and chest. The non-dominant hand is generally injured since the grease gun is usually held in the dominant hand. Even if high-pressure injection injury causes only a small lesion in the skin, it is still characterized by severe damage to subcutaneous tissue. Since initial presentation may be deceptive, treatment is frequently delayed. The characteristics of the material injected need to be known as a priority, and systemic intoxication must be ruled out. The risk of amputation is 16-55%. With solvents it goes up to 50-80%. Surgical treatment must be performed immediately, under general anesthesia or plexus block. Foreign material and necrotic tissue must be early debrided with wide microsurgical exploration. Positive outcomes in reacquisition of hand functions can be obtained with long-term and early physiotherapy. https://www.panafrican-med-journal.com/content/article/20/40/pdf/40.pdf grease-gunfirearm injuriesamputation
spellingShingle Oguz Eroglu
Elif Sari
Sevilay Vural
Figen Coskun
Warning: this may be as dangerous as firearm injuries;“grease-gun injury”: a case report
The Pan African Medical Journal
grease-gun
firearm injuries
amputation
title Warning: this may be as dangerous as firearm injuries;“grease-gun injury”: a case report
title_full Warning: this may be as dangerous as firearm injuries;“grease-gun injury”: a case report
title_fullStr Warning: this may be as dangerous as firearm injuries;“grease-gun injury”: a case report
title_full_unstemmed Warning: this may be as dangerous as firearm injuries;“grease-gun injury”: a case report
title_short Warning: this may be as dangerous as firearm injuries;“grease-gun injury”: a case report
title_sort warning this may be as dangerous as firearm injuries grease gun injury a case report
topic grease-gun
firearm injuries
amputation
url https://www.panafrican-med-journal.com/content/article/20/40/pdf/40.pdf
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AT elifsari warningthismaybeasdangerousasfirearminjuriesgreaseguninjuryacasereport
AT sevilayvural warningthismaybeasdangerousasfirearminjuriesgreaseguninjuryacasereport
AT figencoskun warningthismaybeasdangerousasfirearminjuriesgreaseguninjuryacasereport