TY - JOUR PY - 2008// TI - Nail gun injuries to the hand JO - Journal of trauma A1 - Hussey, Keith A1 - Knox, David A1 - Lambah, Alex A1 - Curnier, Alain P. A1 - Holmes, John D. A1 - Davies, Michelle SP - 170 EP - 173 VL - 64 IS - 1 N2 - BACKGROUND: Aberdeen Royal Infirmary is a teaching hospital serving a population of over 500,000. A number of nail gun injuries to the hand prompted a review of our management of these injuries and a review of the literature. These are deep penetrating injuries, often contaminated by particles of skin, oil, paper or glue, or caused by nails that are barbed. METHODS: Fifty-five cases of nail gun injury to the hand were reviewed in a retrospective study of injuries presenting to the hospital between January 2000 and June 2004. RESULTS: The population at risk is almost entirely men and involved in the construction industry. Twenty-five percent of cases were found to have tendon, nerve or joint involvement at operation. None of the injuries required anything more than meticulous wound toilet. CONCLUSIONS: To our knowledge, this is the first large study to clinically document the actual hand injuries caused by nail guns. An analysis of our treatment patterns suggests a low risk from surgical exploration with several potential benefits.
Language: en
LA - en SN - 0022-5282 UR - http://dx.doi.org/10.1097/TA.0b013e3180d09996 ID - ref1 ER -