Our Summary

The research paper discusses a rare type of injury caused by sandblasting - a process used to clean or smooth surfaces using a high-pressure jet of sand. There have only been four such cases reported in medical literature before.

The paper presents a case of a patient who suffered a sandblasting injury on the back of his hand and wrist. Based on this case and previous studies, the authors suggest a treatment approach. They recommend that within the first 24 hours after injury, any foreign objects embedded in the skin should be removed using a special type of X-ray machine called a C-arm. This should be followed by repeated cleanings with a mild surgical scrub brush and saline solution (salt water).

The paper’s findings are considered to be at the Level V of evidence, which means they are based on expert opinions and case reports. The study contributes to the understanding and treatment of such rare industrial accidents.

FAQs

  1. What is the recommended treatment for sandblasting injuries to the hand and wrist?
  2. How common are sandblasting injuries?
  3. What is meant by ’traumatic tattooing’ in the context of sandblasting injuries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hand surgery is to follow post-operative care instructions closely, including keeping the hand elevated, applying ice as recommended, and attending follow-up appointments for proper wound care and monitoring of healing progress. It is also important to avoid putting pressure or strain on the hand during the recovery period to promote optimal healing.

Suitable For

Patients who are typically recommended hand surgery include those with severe traumatic injuries such as sandblasting injuries, crush injuries, amputations, severe burns, nerve injuries, tendon injuries, fractures, and deformities. Hand surgery may also be recommended for patients with chronic conditions such as carpal tunnel syndrome, trigger finger, arthritis, and Dupuytren’s contracture. Additionally, hand surgery may be recommended for patients with congenital abnormalities or birth defects affecting the hand.

Timeline

Before hand surgery:

  • Patient sustains a sandblasting injury to the dorsum of the hand and wrist
  • Patient may experience pain, swelling, and possible infection at the site of the injury
  • Patient may undergo imaging studies such as X-rays to assess the extent of the injury
  • Patient may be prescribed pain medication and antibiotics to manage symptoms

After hand surgery:

  • Patient undergoes C-arm-guided debridement of embedded foreign bodies within 24 hours of the injury
  • Patient undergoes repeated saline washouts with a soft surgical scrub brush to clean the wound
  • Patient may require physical therapy to regain strength and function in the hand
  • Patient may experience improved pain and swelling following surgery
  • Patient may have follow-up appointments with the surgeon to monitor healing and address any complications.

What to Ask Your Doctor

  1. What specific type of hand surgery is recommended for my injury?
  2. What are the potential risks and complications associated with the surgery?
  3. How long is the recovery period expected to be after the surgery?
  4. Will I need physical therapy or rehabilitation after the surgery?
  5. What type of anesthesia will be used during the surgery?
  6. How many similar surgeries have you performed in the past?
  7. What is the success rate of this type of surgery for my injury?
  8. Will I need any follow-up appointments or additional treatments after the surgery?
  9. Are there any alternative treatments or non-surgical options available for my injury?
  10. What can I do to optimize my recovery and improve the outcome of the surgery?

Reference

Authors: Lim HN, Sebastin SJ. Journal: J Hand Surg Asian Pac Vol. 2022 Feb;27(1):204-208. doi: 10.1142/S2424835522720079. Epub 2022 Feb 17. PMID: 35172702