High-Pressure Refrigerant Gas Injection Injury to the Hand
2025

High-Pressure Refrigerant Gas Injection Injury to the Hand

Sample size: 1 publication Evidence: low

Author Information

Author(s): Simmons Elizabeth DO, Vesselle Alexandre MD, Yildirim Baris MD, Bafus Blaine T. MD

Primary Institution: Mercy Health St. Vincent Medical Center

Hypothesis

Can high-pressure refrigerant injection injuries be managed nonsurgically in select cases?

Conclusion

The patient with a high-pressure refrigerant injection injury was successfully treated without surgery.

Supporting Evidence

  • High-pressure injection injuries are rare, accounting for about one in every 600 hand injuries.
  • The patient was asymptomatic upon transfer and was managed without surgery.
  • Previous literature supports that some high-pressure injection injuries can be treated conservatively.

Takeaway

If someone gets hurt by a high-pressure gas injection, sometimes they don't need surgery and can get better just by watching and waiting.

Methodology

Case report detailing the nonsurgical management of a high-pressure refrigerant injection injury.

Potential Biases

Potential bias in treatment decisions based on the specific chemical involved.

Limitations

The case is based on a single patient, limiting generalizability.

Participant Demographics

39-year-old right-hand dominant male with no medical history.

Digital Object Identifier (DOI)

10.5435/JAAOSGlobal-D-24-00155

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