Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report
We describe a case of hyperbaric oxygen therapy (HBOt) as an adjunct to treatment of a crush injury to the hand. A 34-year-old male paramedic was involved in a motor vehicle accident and admitted for diagnosis and surgical treatment. He sustained a crush injury to his right hand and presented with s...
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| Format: | Article |
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Korean Society of Traumatology
2022-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0048.pdf |
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| author | Pedro Henry Neto Zamara Brandão Ribeiro Adriano Bastos Pinho Carlos Henrique Rodrigues de Almeida Carlos Alberto de Albuquerque Maranhão Joaquim da Cunha Campos Goncalves |
| author_facet | Pedro Henry Neto Zamara Brandão Ribeiro Adriano Bastos Pinho Carlos Henrique Rodrigues de Almeida Carlos Alberto de Albuquerque Maranhão Joaquim da Cunha Campos Goncalves |
| author_sort | Pedro Henry Neto |
| collection | DOAJ |
| description | We describe a case of hyperbaric oxygen therapy (HBOt) as an adjunct to treatment of a crush injury to the hand. A 34-year-old male paramedic was involved in a motor vehicle accident and admitted for diagnosis and surgical treatment. He sustained a crush injury to his right hand and presented with significant muscle damage, including multiple fractures and dislocations, an avulsion injury of the flexor tendons, and amputation of the distal phalanx of the little finger. He underwent reconstructive surgery and received HBOt over the following days. In the following 2 months, he lost the distal and middle phalanges of the little finger and recovered hand function. Posttraumatic compartment syndrome responds well to HBOt, which reduces edema and contributes to angiogenesis, as well as promoting the cascade of healing events. High-energy trauma causes massive cell destruction, and the blood supply is usually not sufficient to meet the oxygen demands of viable tissues. Hyperbaric oxygenation by diffusion through interstitial and cellular fluids increases tissue oxygenation to levels sufficient for the host’s responses to injury to work and helps control the delayed inflammatory reaction. HBOt used as an adjunct to surgical treatment resulted in early healing and rehabilitation, accelerating functional recovery. The results suggest that adjunctive HBOt can be beneficial for the treatment of crush injuries of the hand, resulting in better functional outcomes and helping to avoid unnecessary amputations. |
| format | Article |
| id | doaj-art-3c378f2d1ab840e3a778fafb89398a40 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-3c378f2d1ab840e3a778fafb89398a402025-01-16T04:54:41ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-09-0135320921410.20408/jti.2021.00481119Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case reportPedro Henry Neto0Zamara Brandão Ribeiro1Adriano Bastos Pinho2Carlos Henrique Rodrigues de Almeida3Carlos Alberto de Albuquerque Maranhão4Joaquim da Cunha Campos Goncalves5 Department of Hyperbaric Medicine, Hospital Municipal de Cuiabá, Cuiabá, Brazil Department of Hyperbaric Medicine, Hospital Municipal de Cuiabá, Cuiabá, Brazil Department of Surgery, Hospital Municipal de Cuiabá, Cuiabá, Brazil Department of Surgery, Hospital Municipal de Cuiabá, Cuiabá, Brazil Department of Surgery, Hospital Municipal de Cuiabá, Cuiabá, Brazil Department of Surgery, Hospital Municipal de Cuiabá, Cuiabá, BrazilWe describe a case of hyperbaric oxygen therapy (HBOt) as an adjunct to treatment of a crush injury to the hand. A 34-year-old male paramedic was involved in a motor vehicle accident and admitted for diagnosis and surgical treatment. He sustained a crush injury to his right hand and presented with significant muscle damage, including multiple fractures and dislocations, an avulsion injury of the flexor tendons, and amputation of the distal phalanx of the little finger. He underwent reconstructive surgery and received HBOt over the following days. In the following 2 months, he lost the distal and middle phalanges of the little finger and recovered hand function. Posttraumatic compartment syndrome responds well to HBOt, which reduces edema and contributes to angiogenesis, as well as promoting the cascade of healing events. High-energy trauma causes massive cell destruction, and the blood supply is usually not sufficient to meet the oxygen demands of viable tissues. Hyperbaric oxygenation by diffusion through interstitial and cellular fluids increases tissue oxygenation to levels sufficient for the host’s responses to injury to work and helps control the delayed inflammatory reaction. HBOt used as an adjunct to surgical treatment resulted in early healing and rehabilitation, accelerating functional recovery. The results suggest that adjunctive HBOt can be beneficial for the treatment of crush injuries of the hand, resulting in better functional outcomes and helping to avoid unnecessary amputations.http://jtraumainj.org/upload/pdf/jti-2021-0048.pdfhyperbaric oxygenationcrush injuriessurgical flapscompartment syndromecase reports |
| spellingShingle | Pedro Henry Neto Zamara Brandão Ribeiro Adriano Bastos Pinho Carlos Henrique Rodrigues de Almeida Carlos Alberto de Albuquerque Maranhão Joaquim da Cunha Campos Goncalves Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report Journal of Trauma and Injury hyperbaric oxygenation crush injuries surgical flaps compartment syndrome case reports |
| title | Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report |
| title_full | Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report |
| title_fullStr | Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report |
| title_full_unstemmed | Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report |
| title_short | Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report |
| title_sort | hyperbaric oxygen therapy for the treatment of a crush injury of the hand a case report |
| topic | hyperbaric oxygenation crush injuries surgical flaps compartment syndrome case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0048.pdf |
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