Advertisement

Skeletal Radiology

, Volume 47, Issue 12, pp 1701–1704 | Cite as

Synovitis of the knee following a high-pressure injection injury with hydraulic oil

  • Paulo A. Noronha
  • Ronaldo O. Lomelino
  • Vanessa Dinoá
  • Edson Marchiori
Case Report
  • 35 Downloads

Abstract

High-pressure injection injuries occur when equipment capable of achieving high pressure injects its contents into the human body. These injuries are largely occupational and may present as small entrance wounds with very few symptoms. However, they represent a surgical emergency, often requiring amputation. They characteristically involve the upper extremities, but other regions of the body may be injured. We present the case of a 26-year-old man who sustained a high-pressure injection injury with hydraulic oil to the knee and a literature review of this type of accident. To our knowledge, this report is the first to describe such an injury to the knee, with magnetic resonance imaging findings.

Keywords

High-pressure injection injury Synovitis Trauma Magnetic resonance imaging 

Notes

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Smith GD. High-pressure injection injuries. Trauma. 2005;7:95–103.CrossRefGoogle Scholar
  2. 2.
    Hogan CJ, Ruland RT. High-pressure injection injuries to the upper extremity: a review of the literature. J Orthop Trauma. 2006;20(7):503–11.CrossRefGoogle Scholar
  3. 3.
    Schoo MJ, Scott FA, Boswick JA. High pressure injection injuries of the hand. J Trauma. 1980;20:229–38.CrossRefGoogle Scholar
  4. 4.
    Amsdell SL, Hammert WC. High-pressure injection injuries in the hand: current treatment concepts. Plast Reconstr Surg. 2013;132(4):586e–91e.CrossRefGoogle Scholar
  5. 5.
    Pappou IP, Deal DN. High-pressure injection injuries. J Hand Surg Am. 2012;37(11):2404–7.CrossRefGoogle Scholar
  6. 6.
    Mason ML, Queen FB. Grease gun injuries to the hand—pathology and treatment of injuries (oleomas) following the injection of grease under high pressure. Q Bull Northwest Univ Med Sch. 1941;15(2):122–32.PubMedCentralGoogle Scholar
  7. 7.
    Mills C, Wilson P, Watts T, Manushakian H. High pressure paint injection injury of the hand. Injury Extra. 2007;38:298–300.CrossRefGoogle Scholar
  8. 8.
    Neal NC, Burke FD. High-pressure injection injuries. Injury. 1991;6:467–70.CrossRefGoogle Scholar
  9. 9.
    Subramaniam RM, Clearwater GM. High-pressure water injection injury: emergency presentation and management. Emerg Med (Fremantle). 2002;14(3):324–7.CrossRefGoogle Scholar
  10. 10.
    Kaufman HD. High pressure injection injuries, the problems, pathogenesis and management. Hand. 1970;1(2):63–73.CrossRefGoogle Scholar
  11. 11.
    Moore B. Oleogranuloma; the late effects of accidental injection of mineral oil under pressure. Br J Ind Med. 1946;3(4):250–2.PubMedPubMedCentralGoogle Scholar
  12. 12.
    Llauger J, Palmer J, Rosón N, Bagué S, Camins A, Cremades R. Nonseptic monoarthritis: imaging features with clinical and histopathologic correlation. Radiographics. 2000;20:263–78.CrossRefGoogle Scholar

Copyright information

© ISS 2018

Authors and Affiliations

  • Paulo A. Noronha
    • 1
  • Ronaldo O. Lomelino
    • 2
  • Vanessa Dinoá
    • 1
  • Edson Marchiori
    • 1
  1. 1.Universidade Federal do Rio de JaneiroRio de JaneiroBrazil
  2. 2.Universidade Federal FluminenseRio de JaneiroBrazil

Personalised recommendations