574 results match your criteria Hand Injury High Pressure


Prehospital Traumatic Brain Injury Management Clinical Pearls and Pathophysiology.

J Spec Oper Med 2022 May;22(2):55-61

Traumatic brain injury (TBI) management is complex. The brain is a sensitive, high-maintenance organ that loses its ability to take care of itself upon injury, and our primary mission is to achieve and maintain optimal levels of cerebral blood flow (CBF) from the moment of injury until recovery. The authors provide a case and discuss prehospital patient management, including adequate oxygen saturation and blood pressure, early recognition of TBI, frequent exams, detailed charting and hand-off, and fast transport to the next echelon of care. Read More

View Article and Full-Text PDF

Injection Injury Caused by Disinfectant During COVID-19: A Case Report.

Front Public Health 2022 27;10:851175. Epub 2022 Apr 27.

Department of Orthopedics, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

High-pressure injection injury of the hand is a rare but severe emergency, which requires full attention and timely treatment. However, the early symptoms may not be obvious. As the swelling and necrosis progress, the condition gradually worsens, and in severe cases, it may end with amputation. Read More

View Article and Full-Text PDF

Dual-energy computed tomography in high-pressure injection injuries caused by grease: an experimental study.

J Hand Surg Eur Vol 2022 Apr 25:17531934221095027. Epub 2022 Apr 25.

Department of Radiology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, China.

View Article and Full-Text PDF

Bile Acid Profiling in Mouse Biofluids and Tissues.

Methods Mol Biol 2022 ;2455:305-318

Department of Pharmacology and Toxicology, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, NJ, USA.

Bile acids (BAs) serve as important signaling molecules and are endogenous ligands of nuclear and cell membrane receptors to regulate physiological and pathological processes. BA synthesis and metabolism have been impaired in NASH patients because of liver injury, inflammation or obstruction of bile ducts. On the other hand, the changes in BA composition might alter the activation status of various cell signaling pathways and contribute to NASH pathogenesis. Read More

View Article and Full-Text PDF
January 2022

The panniculus carnosus muscle: a missing link in the chronicity of heel pressure ulcers?

J R Soc Interface 2022 02 23;19(187):20210631. Epub 2022 Feb 23.

Cancer and Stem Cell Biology and Centre for Computational Biology, Duke-NUS Medical School, Singapore.

Chronic and recurring pressure ulcers (PUs) create an unmet need for predictive biomarkers. In this work, we examine the panniculus carnosus, a thin cutaneous muscle, traditionally considered vestigial in humans, and ask whether the panniculus may play a role in the chronicity and reinjury of heel PUs. To determine whether humans have a panniculus muscle layer at the heel, we dissected eight cadavers. Read More

View Article and Full-Text PDF
February 2022

Bilateral Finger Morton Neuroma after Primary Fingertip Amputation.

Plast Reconstr Surg Glob Open 2022 Jan 27;10(1):e4035. Epub 2022 Jan 27.

Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

Morton's neuroma (MN) is a painful, proliferative fibrosis of perineural tissue caused by pressure or recurrent irritation that was previously thought to affect only the common interdigital nerve of the foot. We present a case of a bilateral MN of both the ulnar and radial proper digital nerves of the fifth finger in a 30-year-old patient, following multiple surgeries on the aforementioned finger. The patient was referred to our center by a peripheral hospital after traumatic fingertip amputation distal the DIP joint, where the fingertip was initially simply sutured. Read More

View Article and Full-Text PDF
January 2022

Validity of the lever sign test for the clinical diagnosis of anterior cruciate ligament tears: Assessments in ski resorts.

Orthop Traumatol Surg Res 2022 May 17;108(3):103254. Epub 2022 Feb 17.

Université Grenoble-Alpes, CHU de Grenoble-Alpes-Voiron, 14, route des gorges, 38500 Voiron, France.

Introduction: The clinical diagnosis of an anterior cruciate ligament (ACL) tear is based on 3 tests: anterior drawer, pivot shift and Lachman. The latter is the most commonly used test. The "lever sign" is a new clinical test that was first described by Lelli et al. Read More

View Article and Full-Text PDF

Sandblasting Injury: A Case Report and a Review of Literature.

J Hand Surg Asian Pac Vol 2022 Feb 17;27(1):204-208. Epub 2022 Feb 17.

Department of Hand and Reconstructive Microsurgery, National University Health System, Singapore.

Sandblasting injuries are uncommon with only four reports in literature. We report a patient with a sandblasting injury of the dorsum of the hand and wrist and summarise published literature on the management of such injuries. We recommend early (<24 hours) C-arm-guided debridement of embedded foreign bodies and repeated saline washouts with a soft surgical scrub brush. Read More

View Article and Full-Text PDF
February 2022

Optimal Irrigant in High Pressure Paint Injection Injuries of the Hand.

Plast Reconstr Surg Glob Open 2022 Jan 24;10(1):e4064. Epub 2022 Jan 24.

Division of Plastic and Reconstructive Surgery, University of California Davis, Sacramento, Calif.

High pressure injection injury to the hand with paint leads to amputation rates near 48%. Historically, authors utilized saline irrigation alone, but have high reoperation rates. We conducted a cadaveric study to determine the ideal detergent for effective paint removal from the soft tissue. Read More

View Article and Full-Text PDF
January 2022

Low-vacuum negative pressure wound therapy protocol for complex wounds with exposed vessels.

J Wound Care 2022 Jan;31(1):78-85

Plastic Surgery Unit, Nesmos Department, Faculty of Medicine and Psychology University Sapienza of Rome, Italy.

Objective: Treating high-risk surgical patients with complex wounds over exposed blood vessels is a challenge. Guided wound healing may be the only treatment possible. Negative pressure wound therapy (NPWT) is not recommended in these cases. Read More

View Article and Full-Text PDF
January 2022

Validation of a Novel Boxing Monitoring System to Detect and Analyse the Centre of Pressure Movement on the Boxer's Fist.

Sensors (Basel) 2021 Dec 16;21(24). Epub 2021 Dec 16.

Institute of Biomechanics and Orthopaedics, German Sport University Cologne, 50933 Cologne, Germany.

The examination of force distribution and centre of pressure (CoP) displacement is a common method to analyse motion, load, and load distribution in biomechanical research. In contrast to gait analysis, the force progression in boxing punches is a new field of investigation. The centre of pressure displacement and distribution of forces on the surface of the fist during a boxing punch is of great interest and crucial to understanding the effect of the punch on the biological structures of the hand as well as the technical biomechanical aspects of the punching action. Read More

View Article and Full-Text PDF
December 2021

A Stiff Finger: A "Concrete" Diagnosis.

Cureus 2021 Dec 15;13(12):e20425. Epub 2021 Dec 15.

Plastic and Reconstructive Surgery, Lister Hospital, Stevenage, GBR.

High-pressure injection injuries of the hand are uncommon but are associated with significant morbidity and require urgent surgical intervention. We describe a case of high-pressure injection of cement into the digit of a male patient while using an airless spray gun. We outline the initial assessment and surgical intervention, patient counselling regarding definitive management, and long-term outcomes of his injury. Read More

View Article and Full-Text PDF
December 2021

Incorporating RTLS-Based Spatiotemporal Information in Studying Physical Activities of Clinical Staff.

Annu Int Conf IEEE Eng Med Biol Soc 2021 11;2021:2386-2391

Clinicians and staff who work in intense hospital settings such as the emergency department (ED) are under an extended amount of mental and physical pressure every day. They may spend hours in active physical pressure to serve patients with severe injuries or stay in front of a computer to review patients' clinical history and update the patients' electronic health records (EHR). Nurses on the other hand may stay for multiple consecutive days of 9-12 working hours. Read More

View Article and Full-Text PDF
November 2021

Isolating In-Situ Grip and Push Force Distribution from Hand-Handle Contact Pressure with an Industrial Electric Nutrunner.

Sensors (Basel) 2021 Dec 4;21(23). Epub 2021 Dec 4.

Department of Mechanical and Mechatronics Engineering, University of Waterloo, 200 University Avenue West, Waterloo, ON N2L 3G1, Canada.

Objectives: Grip force during hand tool operation is the primary contributor to tendon strain and related wrist injuries, whereas push force is a contributor to shoulder injuries. However, both cannot be directly measured using a single measurement instrument. The objective of this research was to develop and test an algorithm to isolate the grip and push force distributions from in-situ hand-handle pressure measurements and to quantify their distributions among industrial workers using an electric nutrunner. Read More

View Article and Full-Text PDF
December 2021

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

Trauma Case Rep 2021 Dec 8;36:100551. Epub 2021 Nov 8.

Department of Orthopaedic Surgery, School of Medicine, Jichi Medical University, Shimotsuke, Japan.

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. Read More

View Article and Full-Text PDF
December 2021

[Development of a giant bulla under spontaneous breathing by self-inflicted lung injury in a patient with COVID-19 pneumonia].

Anaesthesist 2022 04 22;71(4):303-306. Epub 2021 Nov 22.

Intensivstation ANIS 5, Klinik für Anaesthesiologie, Klinikum der Universität München, LMU München, Nussbaumstraße 20, 80336, München, Deutschland.

The outbreak of SARS-CoV‑2 and the associated COVID-19 pandemic pose major challenges to healthcare systems worldwide. New data on diagnosis, clinical presentation and treatment of the disease are published on a daily basis. This case report describes the fatal course of severe COVID-19 pneumonia in an 81-year-old patient with no previous pulmonary disease who developed a giant bulla during non-invasive high-flow oxygen therapy. Read More

View Article and Full-Text PDF

Noninvasive detection of elevated ICP using spontaneous tympanic membrane pulsation.

Sci Rep 2021 11 9;11(1):21957. Epub 2021 Nov 9.

Biomedical Acoustics Research Laboratory, University of Central Florida, Orlando, FL, 32816, USA.

Neurological conditions such as traumatic brain injury (TBI) and hydrocephalus may lead to intracranial pressure (ICP) elevation. Current diagnosis methods rely on direct pressure measurement, while CT, MRI and other expensive imaging may be used. However, these invasive or expensive testing methods are often delayed because symptoms of elevated ICP are non-specific. Read More

View Article and Full-Text PDF
November 2021

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

JPRAS Open 2021 Dec 29;30:138-145. Epub 2021 Aug 29.

Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore.

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. Read More

View Article and Full-Text PDF
December 2021

Development and validation of a rapidly deployable CT-guided stereotactic system for external ventricular drainage: preclinical study.

Sci Rep 2021 09 1;11(1):17492. Epub 2021 Sep 1.

Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, 55905, USA.

External ventricular drainage (EVD) is an emergency neurosurgical procedure to decrease intracranial pressure through a catheter mediated drainage of cerebrospinal fluid. Most EVD catheters are placed using free hands without direct visualization of the target and catheter trajectory, leading to a high rate of complications- hemorrhage, brain injury and suboptimal catheter placement. Use of stereotactic systems can prevent these complications. Read More

View Article and Full-Text PDF
September 2021

Pavement Burns in New Mexico: Our Experiences, Treatments, and Outcomes.

J Burn Care Res 2022 01;43(1):281-286

Division of Plastic, Reconstructive, Hand, and Burn Surgery, Department of Surgery, University of New Mexico, Albuquerque, USA.

This study focused on patients treated at the University of New Mexico Burn Center who sustained burn injuries from contact with environmentally heated pavement. We report on our patient demographics and outcomes as well as describe our institutional staged surgical approach to treatment. We provide a comparison of our results with other case reports as well as other findings. Read More

View Article and Full-Text PDF
January 2022

Incidence and prevalence of pressure injuries in children patients: A systematic review and meta-analysis.

J Tissue Viability 2022 Feb 19;31(1):142-151. Epub 2021 Jul 19.

Department of Nursing, Gansu Provincial Hospital, Lanzhou City, Gansu Province, China. Electronic address:

Background: Pressure injuries presently has been a serious healthcare problem all over the world. Children were recognized as the high-risk population of pressure injuries in the latest prevention and treatment of pressure injuries clinical practice guideline. However, the estimates of incidence, and prevalence of pressure injuries in hospitalized children patients vary considerable in relevant published studies. Read More

View Article and Full-Text PDF
February 2022

An E-Textile Respiration Sensing System for NICU Monitoring: Design and Validation.

J Signal Process Syst 2022 17;94(6):543-557. Epub 2021 Jul 17.

Department of Electrical, Computer, and Biomedical Engineering, University of Rhode Island, Kingston, RI USA.

The world is witnessing a rising number of preterm infants who are at significant risk of medical conditions. These infants require continuous care in Neonatal Intensive Care Units (NICU). Medical parameters are continuously monitored in premature infants in the NICU using a set of wired, sticky electrodes attached to the body. Read More

View Article and Full-Text PDF

Impact on Renal Function and Hospital Outcomes of an Individualized Management of Cardiopulmonary Bypass in Congenital Heart Surgery: A Pilot Study.

Pediatr Cardiol 2021 Dec 22;42(8):1862-1870. Epub 2021 Jul 22.

Section of Cardiac Surgery, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, O. C. M. Piazzale Stefani 1, 37126, Verona, Italy.

During cardiopulmonary bypass (CPB), high flows can allow an adequate perfusion to kidneys, but, on the other hand, they could cause emboli production, increased vascular pressure, and a more intense inflammatory response, which are in turn causes of renal damage. Along with demographic variables, other intra-operative management and post-operative events, this might lead to Acute kidney injury (AKI) in infants undergoing cardiac surgery. The aim of our study was to investigate if a CPB strategy with flow requirements based on monitoring of continuous metabolic and hemodynamic parameters could have an impact on outcomes, with a focus on renal damage. Read More

View Article and Full-Text PDF
December 2021

Consensus on the application of negative pressure wound therapy of diabetic foot wounds.

Burns Trauma 2021 21;9:tkab018. Epub 2021 Jun 21.

Burn Institute of PLA, Department of Burns, The First Affiliated Hospital of Naval Medical University, No. 168 Changhai Road, Yangpu District, Shanghai, 200433, China.

Because China is becoming an aging society, the incidence of diabetes and diabetic foot have been increasing. Diabetic foot has become one of the main health-related killers due to its high disability and mortality rates. Negative pressure wound therapy (NPWT) is one of the most effective techniques for the treatment of diabetic foot wounds and great progress, both in terms of research and its clinical application, has been made in the last 20 years of its development. Read More

View Article and Full-Text PDF

Cold atmospheric plasma improves cutaneous microcirculation in standardized acute wounds: Results of a controlled, prospective cohort study.

Microvasc Res 2021 11 16;138:104211. Epub 2021 Jun 16.

Department of Plastic Surgery, Hand Surgery, Burn Unit, University Hospital of Schleswig-Holstein, Campus Lübeck, University of Lübeck, Lübeck, Germany.

Background: Given the high prevalence of wounds and their challenging treatment, the research of therapies to improve wound healing is of great clinical interest. In addition, the general consequences of developing chronic wounds constitute a large health economic aspect, which underscores the interest in the development of efficient treatment strategies. Direct cold atmospheric plasma (di_CAP) has been shown to have beneficial effects on microcirculation of human tissue (Kisch et al. Read More

View Article and Full-Text PDF
November 2021

Human physiological responses of exposure to extremely cold environments.

J Therm Biol 2021 May 3;98:102933. Epub 2021 Apr 3.

School of Emergency Management & Safety Engineering, China University of Mining and Technology, Beijing, 100083, China.

Extremely cold events have occurred more frequently in the past few years. People exposed to extremely cold exposure could suffer the threats of human health and safety like cold stress and injury. This study aims to investigate human physiological responses of exposure to extremely cold environments and the moment of temperature step. Read More

View Article and Full-Text PDF

Diffusion weighted imaging to identify subcutaneous grease after a high-pressure injection injury: a case report.

J Hand Surg Eur Vol 2021 12 20;46(10):1110-1111. Epub 2021 May 20.

Department of Radiology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, China.

View Article and Full-Text PDF
December 2021

BILATERAL EYE INJURY WITH BILATERAL BLOWOUT FRACTURE CAUSED BY A HIGH-PRESSURE WATER JET IN 16-YEARS-OLD FIREMAN GIRL. CASE REPORT.

Cesk Slov Oftalmol 2021 ;77(2):88-93

Purpose: The aim is to present a report of a case of bilateral eye injury with bilateral blowout fracture caused by a high-pressure water jet from a fire hose in a 16-year-old girl during a competition for young firefighters.

Methods: We present a case report of a 16-year-old female patient with bilateral extensive eyelid contusion, oedema and lacerations of upper eyelids, lacerations of bulbar conjunctiva, contusion of both eyes, left optic nerve and bilateral blowout fractures of orbits.  Results: The initial ocular examination revealed "hand motion" in the right eye and no light perception in the left eye. Read More

View Article and Full-Text PDF

High-Pressure Injection Injuries of the Hand: A 10-Year Retrospective Analysis at a Single Academic Center.

Ann Plast Surg 2021 06;86(6S Suppl 5):S517-S520

College of Medicine, Medical University of South Carolina.

Introduction: The incidence of high-pressure injection injuries of the hand is low. Although the occurrence is rare, the precarious progression of the injury exacts prompt surgical evaluation in order to avoid complications and amputation. The current study was devised in order to make comparisons to the current data, in addition to supplementing the literature with observations regarding clinical course and management. Read More

View Article and Full-Text PDF