Nail gun injury to the median nerve: A barbed issue
Nail gun injuries to the hand are an increasingly common encounter amongst those in the construction injury and a frequent presentation to the emergency department. Despite their frequency, nail gun injuries rarely involve significant structural injury.We present a rare case of severe injury by a ba...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644024000207 |
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| author | S. Chintapalli E. Phoenix S. Cullen R. Dolan |
| author_facet | S. Chintapalli E. Phoenix S. Cullen R. Dolan |
| author_sort | S. Chintapalli |
| collection | DOAJ |
| description | Nail gun injuries to the hand are an increasingly common encounter amongst those in the construction injury and a frequent presentation to the emergency department. Despite their frequency, nail gun injuries rarely involve significant structural injury.We present a rare case of severe injury by a barbed nail to the median nerve requiring surgical exploration.At our latest follow up 14 months post-operatively, the patient had ongoing sensory and motor deficits, cold intolerance and reduced proprioception and range of motion at the index finger. Continued hand therapy resulted in improved range of motion and desensitization. A systematic literature search has revealed no other reported cases of median nerve injury by nail gun. |
| format | Article |
| id | doaj-art-b4e041e704084d16acdf6affb0e52b0f |
| institution | Kabale University |
| issn | 2352-6440 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-b4e041e704084d16acdf6affb0e52b0f2025-08-20T03:47:09ZengElsevierTrauma Case Reports2352-64402024-06-015110099710.1016/j.tcr.2024.100997Nail gun injury to the median nerve: A barbed issueS. Chintapalli0E. Phoenix1S. Cullen2R. Dolan3Corresponding author at: Department of Plastic and Reconstructive Surgery, St Vincent's University Hospital, Elm Park, Dublin D04 T6F4, Ireland.; Plastic and Reconstructive Surgery, St Vincent's University Hospital, Dublin, Ireland; Department of Surgery, Royal College of Surgeons Ireland, St Stephen's Green, Dublin, IrelandPlastic and Reconstructive Surgery, St Vincent's University Hospital, Dublin, Ireland; Department of Surgery, Royal College of Surgeons Ireland, St Stephen's Green, Dublin, IrelandPlastic and Reconstructive Surgery, St Vincent's University Hospital, Dublin, Ireland; Department of Surgery, Royal College of Surgeons Ireland, St Stephen's Green, Dublin, IrelandPlastic and Reconstructive Surgery, St Vincent's University Hospital, Dublin, Ireland; Department of Surgery, Royal College of Surgeons Ireland, St Stephen's Green, Dublin, IrelandNail gun injuries to the hand are an increasingly common encounter amongst those in the construction injury and a frequent presentation to the emergency department. Despite their frequency, nail gun injuries rarely involve significant structural injury.We present a rare case of severe injury by a barbed nail to the median nerve requiring surgical exploration.At our latest follow up 14 months post-operatively, the patient had ongoing sensory and motor deficits, cold intolerance and reduced proprioception and range of motion at the index finger. Continued hand therapy resulted in improved range of motion and desensitization. A systematic literature search has revealed no other reported cases of median nerve injury by nail gun.http://www.sciencedirect.com/science/article/pii/S2352644024000207Nail gunHand injuryHand traumaBarbsBarbed nail |
| spellingShingle | S. Chintapalli E. Phoenix S. Cullen R. Dolan Nail gun injury to the median nerve: A barbed issue Trauma Case Reports Nail gun Hand injury Hand trauma Barbs Barbed nail |
| title | Nail gun injury to the median nerve: A barbed issue |
| title_full | Nail gun injury to the median nerve: A barbed issue |
| title_fullStr | Nail gun injury to the median nerve: A barbed issue |
| title_full_unstemmed | Nail gun injury to the median nerve: A barbed issue |
| title_short | Nail gun injury to the median nerve: A barbed issue |
| title_sort | nail gun injury to the median nerve a barbed issue |
| topic | Nail gun Hand injury Hand trauma Barbs Barbed nail |
| url | http://www.sciencedirect.com/science/article/pii/S2352644024000207 |
| work_keys_str_mv | AT schintapalli nailguninjurytothemediannerveabarbedissue AT ephoenix nailguninjurytothemediannerveabarbedissue AT scullen nailguninjurytothemediannerveabarbedissue AT rdolan nailguninjurytothemediannerveabarbedissue |