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Nailgun Injuries

 
ICD-9 Classification / Treatment
Etiology / Natural History Associated Injuries / DDx
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References

synonyms:

Nailgun Injuries ICD-9

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Nailgun Injuries Etiology / Epidemiology / Natural History

  • Fairly common due to frequent use of pneumatic nailguns in construction.
  • Complicated by impaled clothing fragments, worksite debrie, adhesives resins, barbs, washers and plastic sleeves frequently utilized in nails.

Nailgun Injuries Anatomy

  • Dependent on affected extemity

Nailgun Injuries Clinical Evaluation

  •  Document neurvascular examination

Nailgun Injuries Xray / Diagnositc Tests

  •  Xrays of affected extremity indicated.

Nailgun Injuries Classification / Treatment

  • Operative nail removal recommeded with curettage of the nail tract, joint visualization if indicated and prophylactic antibiotics. Leave traumatic wound open.  Tetnus prophylaxis.
  • Simple nail removed risks leaving adhesive resin, clothing fragments, worksite debire and plastic sleeves behind with high associated risk of infection or septic arthrosis.

Nailgun Injuries Associated Injuries / Differential Diagnosis

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Nailgun Injuries Complications

Nailgun Injuries Follow-up Care

  •  Generally can return to work 7-10 days after operative nail removal and debridement

Nailgun Injuries Review References

  • Levy, AS, JOT 1991;5:66
  • Van Demark Jr, RE, JOT 1993;7:506

 

 

 

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