Prevention of high-pressure injection injuries to the hand

Am J Emerg Med. 2006 Jan;24(1):73-6. doi: 10.1016/j.ajem.2005.08.001.


Objectives: To identify populations at high risk for, and the usual mechanisms of injury in, high-pressure injection injuries to the hand.

Methods: A case note review of a historical cohort of 76 patients, presenting with high-pressure injections injuries to the hand over a 12-year period, collected information including sex, age, hand dominance, and occupation of the patient and mechanism of injury, when documented.

Results: Eighty-two percent of these injuries were work-related, affecting mainly manual workers (84%), including 13 painters, 10 mechanics, 8 farmers, and 3 water blasters. The mechanism of injury, recorded in 63%, was most commonly a ruptured hose or inadvertent gun discharge during cleaning or use.

Conclusions: Preventative measures could include a targeted safety program for equipment users, engineering improvements in gun and hose design, economic incentives, and workplace legislation.

MeSH terms

  • Adult
  • Cohort Studies
  • Female
  • Hand Injuries / etiology*
  • Hand Injuries / prevention & control*
  • Humans
  • Male
  • Middle Aged
  • Occupational Diseases / etiology*
  • Occupational Diseases / prevention & control*
  • Occupational Health
  • Patient Education as Topic
  • Pressure / adverse effects
  • Retrospective Studies
  • Risk Factors