Published reports of nail gun injuries to the face are uncommon. We describe an unusual delayed presentation with injury through the infratemporal fossa and a literature review. A 55-year-old patient presented 2 weeks after an unrecognized injury with complaints of a headache. Imaging revealed a nail traversing the infratemporal fossa with intracranial extension. The nail was removed through a preauricular approach without sequelae. Nail gun missiles to the face are uncommon, dramatic, but often nonfatal because of their relative low velocity. Patients are usually diagnosed at the time of injury, evaluated with computed tomography and angiography, and treated with surgery.
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http://dx.doi.org/10.1097/MLG.0b013e31804714c1 | DOI Listing |
Am J Ind Med
January 2025
National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.
Background: This study aimed to assess how knee savers (KSs) and knee pads (KPs) alleviate risks of knee musculoskeletal disorders (MSDs) among roofers during various phases of shingle installation. These phases encompass (1) reaching for shingles, (2) placing shingles, (3) grabbing a nail gun, (4) moving to the first nailing position, (5) nailing shingles, (6) replacing the nail gun, and (7) returning to an upright position.
Methods: In a laboratory setting, nine male participants simulated the shingle installation task on a slope-adjustable roof platform (0°, 15°, and 30° slopes) under four intervention conditions: no intervention (NO); with KPs only (KP); with KSs only (KS); and with both KPs and KSs (BO).
Trauma Case Rep
December 2024
Department of Orthopaedic Surgery and Sports Medicine, Detroit Medical Center, Detroit, MI 48201, United States of America.
We present a case involving a 36-year-old male who experienced a nail gun injury to the posterolateral knee, leading to intraoperative nail removal. We observed bisection of the common peroneal nerve during the procedure with tethering, fortunately without any functional or sensory deficits.
View Article and Find Full Text PDFThe authors present a case of a distal phalanx fracture secondary to a nail gun injury. The diagnosis, evaluation and emergency departmetn treatment are reviewed.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
December 2024
Department of Neurosurgery, University of Mississippi Medical Center, Jackson, Mississippi.
Background: Low-velocity penetrating brain injury (PBI) is an uncommon variant of traumatic brain injury (TBI). Patients affected by PBI can present with highly variable injury patterns, which, along with guideline-directed TBI care, may require the employment of unique operative management strategies. There are no strict guidelines for the management of low-velocity penetrating injuries.
View Article and Find Full Text PDFNMC Case Rep J
October 2024
Department of Neurosurgery, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.
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