High-Pressure Refrigerant Gas Injection Injury to the Hand.

J Am Acad Orthop Surg Glob Res Rev

From the Department of Orthopaedics and Sports Medicine, Mercy Health St. Vincent Medical Center, Toledo, OH (Dr. Simmons); the Department of Orthopedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH (Dr. Vesselle); the Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, OH (Dr. Yildirim, Dr. Bafus); the Town Center Orthopaedics, Reston, VA (Dr. Yildirim); and the Louis Stokes Cleveland VA Medical Center, Cleveland, OH (Dr. Bafus).

Published: January 2025

High-pressure injection injuries, although rare, are commonly discussed orthopaedic surgical emergencies. In many cases, high-pressure injection injuries can have detrimental effects on the patient. However, there are rare instances where surgical intervention may be more harmful than helpful. Here, we present a case report of a patient who sustained a high-pressure chemical refrigerant injection injury into the palm of his hand working on an air conditioning refrigeration unit. He was treated nonsurgically with excellent outcomes. The aim of this case report was to bring awareness to the potential nonsurgical management of high-pressure injection injuries in select circumstances.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703426PMC
http://dx.doi.org/10.5435/JAAOSGlobal-D-24-00155DOI Listing

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