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

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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.

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References

  1. Smith GD. High-pressure injection injuries. Trauma. 2005;7:95–103.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  3. Schoo MJ, Scott FA, Boswick JA. High pressure injection injuries of the hand. J Trauma. 1980;20:229–38.

    Article  CAS  Google Scholar 

  4. Amsdell SL, Hammert WC. High-pressure injection injuries in the hand: current treatment concepts. Plast Reconstr Surg. 2013;132(4):586e–91e.

    Article  CAS  Google Scholar 

  5. Pappou IP, Deal DN. High-pressure injection injuries. J Hand Surg Am. 2012;37(11):2404–7.

    Article  Google Scholar 

  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.

    PubMed Central  Google Scholar 

  7. Mills C, Wilson P, Watts T, Manushakian H. High pressure paint injection injury of the hand. Injury Extra. 2007;38:298–300.

    Article  Google Scholar 

  8. Neal NC, Burke FD. High-pressure injection injuries. Injury. 1991;6:467–70.

    Article  Google Scholar 

  9. Subramaniam RM, Clearwater GM. High-pressure water injection injury: emergency presentation and management. Emerg Med (Fremantle). 2002;14(3):324–7.

    Article  Google Scholar 

  10. Kaufman HD. High pressure injection injuries, the problems, pathogenesis and management. Hand. 1970;1(2):63–73.

    Article  Google Scholar 

  11. Moore B. Oleogranuloma; the late effects of accidental injection of mineral oil under pressure. Br J Ind Med. 1946;3(4):250–2.

    CAS  PubMed  PubMed Central  Google Scholar 

  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.

    Article  Google Scholar 

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Correspondence to Edson Marchiori.

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Noronha, P.A., Lomelino, R.O., Dinoá, V. et al. Synovitis of the knee following a high-pressure injection injury with hydraulic oil. Skeletal Radiol 47, 1701–1704 (2018). https://doi.org/10.1007/s00256-018-2969-6

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  • DOI: https://doi.org/10.1007/s00256-018-2969-6

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