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Application progress of imaging technology in high-pressure injection injury
LI Qinglong  LI Jun 

Cite this article as: Li QL, Li J. Application progress of imaging technology in high-pressure injection injury[J]. Chin J Magn Reson Imaging, 2022, 13(6): 168-170. DOI:10.12015/issn.1674-8034.2022.06.036.

[Abstract] High-pressure injection injury is a serious compound injury. The early clinical manifestations include small wounds and mild symptoms. However, the disease progresses relatively rapidly. Delay of debridement can even lead to amputation. The use of imaging technology can evaluate injection of foreign materials and the changes in tissue structure caused by high-pressure injection injury, including diffusion of foreign materials, invasion of soft tissue, infection and blood supply. To further explore the relationship between imaging features and tissue damages caused by high-pressure injection injury. This article reviews the application progress of X-ray, CT, MRI and ultrasonography in the diagnosis and treatment of high-pressure injection injury.
[Keywords] high-pressure injection injury;X-ray imaging;magnetic resonance imaging;tomography, X-ray computed;ultrasonography

LI Qinglong   LI Jun*  

Department of Radiology, Yantai Affiliated Hospital of Binzhou Medical Universtiy, Yantai 264100, China

Li J, E-mail:

Conflicts of interest   None.

Received  2021-10-14
Accepted  2022-05-27
DOI: 10.12015/issn.1674-8034.2022.06.036
Cite this article as: Li QL, Li J. Application progress of imaging technology in high-pressure injection injury[J]. Chin J Magn Reson Imaging, 2022, 13(6): 168-170. DOI:10.12015/issn.1674-8034.2022.06.036.

Ryan AT, Johnstone BR. High-pressure injection injury: benign appearance belies potentially devastating consequences[J]. Med J Aust, 2017, 206(11): 477. DOI: 10.5694/mja16.00664.
Song DE, Zhang GC, Jiang XM, et al. Treatment of hand high pressure injection injury by microsurgery[J]. Journal of Practical Hand Surgery, 2021, 35(2): 204-206. DOI: 10.3969/j.issn.1671-2722.2021.02.021.
Zhang KH, Li J, Hou MZ, et al. Characteristics of high-pressure injection injuries of the hand[J]. Orthopedic Journal of China, 2006, 14(8): 572-573, 642.
Cannon TA. High-pressure Injection Injuries of the Hand[J]. Orthop Clin North Am, 2016, 47(3): 617-624. DOI: 10.1016/j.ocl.2016.03.007.
Feldman G, Rozen N, Eliyahu AC, et al. High-pressure injection injuries of the fingers: Long-term follow-up in patients after extensive debridement[J]. Hand Surg Rehabil, 2019, 38(5): 312-316. DOI: 10.1016/j.hansur.2019.07.010.
Nichols G, Gallegos J, Tavana ML, et al. High-Pressure Injection Injuries of the Hand: A 10-Year Retrospective Analysis at a Single Academic Center[J]. Ann Plast Surg, 2021, 86(6SSuppl 5): S517-S520. DOI: 10.1097/SAP.0000000000002855.
Zhang JC, Zheng DW, Wei YH, et al. Microsurgical treatment of high pressure injection injuries of fingers[J]. Journal of Practical Hand Surgery, 2019, 33(2): 168-170. DOI: 10.3969/j.issn.1671-2722.2019.02.013.
Foran I, Oak NR, Meunier MJ. High-Pressure Injection Injury Caused by Electronic Cigarette Explosion: A Case Report[J]. JBJS Case Connect, 2017, 7(2): e36. DOI: 10.2106/JBJS.CC.16.00177.
Sabet Y, Meysami A, Rubin B. High-Pressure Injection Injury in a Patient With a History of Gout[J]. J Clin Rheumatol, 2020, 26(8): e321. DOI: 10.1097/RHU.0000000000001176.
Feldman G, Hitti S, Rozen N, et al. Molten metal high pressure injection injury of the hand[J]. Hand Surg Rehabil, 2020, 39(4): 328-331. DOI: 10.1016/j.hansur.2020.03.007.
Sharma R, John JR, Sharma RK. High-pressure chemical injection injury to the hand: usually underestimated injury with major consequences[J]. BMJ Case Rep, 2019, 12(9): e231112. DOI: 10.1136/bcr-2019-231112.
Zhang YT, Xue JH. High-Pressure Water Swelling Sealant Injection Injury to the Hand: a Case Report and Review of the Literature[J]. Indian J Surg, 2015, 77(6): 508-511. DOI: 10.1007/s12262-015-1312-x.
Peters G, Learch T, White E, et al. High-pressure paint gun injury: clinical presentation and imaging findings[J]. Emerg Radiol, 2014, 21(6): 627-630. DOI: 10.1007/s10140-014-1204-6.
Kamrani RS, Mehrpour SR, Aghamirsalim MR. High-pressure plastic injection injury of the hand: case report[J]. Occup Med (Lond), 2011, 61(7): 518-520. DOI: 10.1093/occmed/kqr082.
Jia LL, Chen HH, Sai L, et al. Evaluation of plaque composition and stability in early vascular diseases based on CT and MRI[J]. Chin J Magn Reson Imaging, 2020, 11(7): 597-600. DOI: 10.12015/issn.1674-8034.2020.07.025.
Zitelny E, Briggs B, Little R, et al. High-Pressure Injection Injury of the Face: A Case Report on Presentation and Management[J]. Clin Pract Cases Emerg Med, 2020, 4(2): 211-213. DOI: 10.5811/cpcem.2020.3.45637.
Kelpin JP, Fahrenkopf MP, Van Pelt AE. Treatment of an Uncommon High-Pressure Orbital Injection Injury[J]. J Craniofac Surg, 2018, 29(7): 1829-1831. DOI: 10.1097/SCS.0000000000004521.
Bourget DM, Perrone J. High-pressure decisions: recognition and management of uncommon hand injuries[J]. J Med Toxicol, 2011, 7(2): 162-163. DOI: 10.1007/s13181-010-0122-6.
Niitsuma G, Nakashima H, Nagai T, et al. Extensive high-pressure injection injury of the hand due to epoxy resin paint: a case report[J]. Case Reports Plast Surg Hand Surg, 2021, 8(1): 56-62. DOI: 10.1080/23320885.2021.1898965.
Collins M, Mcgauvran A, Elhassan B. High-pressure injection injury of the hand: peculiar MRI features and treatment implications[J]. Skeletal Radiol, 2019, 48(2): 295-299. DOI: 10.1007/s00256-018-3005-6.
Bean B, Cook S, Loeffler BJ, et al. High-Pressure Water Injection Injuries of the Hand May Not Be Trivial[J]. Orthopedics, 2018, 41(2): e245-e251. DOI: 10.3928/01477447-20180123-04.
Stefanato CM, Turner MS, Bhawan J. High-pressure paint-gun injury of the finger simulating giant cell tumor of tendon sheath[J]. J Cutan Pathol, 2005, 32(2): 179-183. DOI: 10.1111/j.0303-6987.2005.00279.x.
Noronha PA, Lomelino RO, Dinoa V, et al. Synovitis of the knee following a high-pressure injection injury with hydraulic oil[J]. Skeletal Radiol, 2018, 47(12): 1701-1704. DOI: 10.1007/s00256-018-2969-6.
Barger K, Jenkins R, Weng B, et al. A unique case report of a high-pressure paint injection injury of the hand with associated carbapenemase resistant Pseudomonas aeruginosa infection[J]. J Surg Case Rep, 2020, 2020(7): rjaa154. DOI: 10.1093/jscr/rjaa154.
Zheng L, Li Q, Li J. Diffusion weighted imaging to identify subcutaneous grease after a high-pressure injection injury: a case report[J]. J Hand Surg Eur Vol, 2021, 46(10): 1110-1111. DOI: 10.1177/17531934211017401.
Mushtaq J, Walker A, Hunter B. Under pressure: progressively enlarging facial mass following high-pressure paint injection injury[J]. BMJ Case Rep, 2016, 2016: bcr2015212817. DOI: 10.1136/bcr-2015-212817.
Salati SA, Rather A. Missed foreign bodies in the hand: an experience from a center in Kashmir[J]. Libyan J Med, 2010, 5(1): 5083. DOI: 10.3402/ljm.v5i0.5083.
Schmidt AH. Acute compartment syndrome[J]. Injury, 2017, 48(Suppl 1): S22-S25. DOI: 10.1016/j.injury.2017.04.024.
Yıldıran G, Sütçü M, Akdağ O, et al. High-pressure injection injuries to the upper extremity and the review of the literature. Üst ekstremitenin yüksek basınçlı enjeksiyon yaralanmaları ve literatürün gözden geçirilmesi[J]. Ulus Travma Acil Cerrahi Derg, 2020, 26(6): 899-904. DOI: 10.14744/tjtes.2020.26751.
Chen L, Gao YH, Chen J, et al. Diagnosis of Subungual Glomus Tumors with 18 MHz Ultrasound and CDFI[J]. Sci Rep, 2020, 10(1): 17848. DOI: 10.1038/s41598-020-74774-7.

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