Pierpont Yvonne N, Pappas-Politis Effie, Naidu Deepak K, Salas R Emerick, Johnson Erika L, Payne Wyatt G
Institute for Tissue Regeneration, Repair, and Rehabilitation, Bay Pines VA Healthcare System, Bay Pines, Florida, USA.
Eplasty. 2008;8:e52. Epub 2008 Nov 13.
The nail gun is a commonly utilized tool in carpentry and construction. When used properly with appropriate safety precautions, it can facilitate production and boost efficiency; however, this powerful tool also has the potential to cause serious injury. The most common site of nail-gun injuries in both industrial and nonoccupational settings is the hand.
We report on two patients with nail-gun injuries to the hand. A review of the literature and discussion of clinical evaluation and treatment of nail-gun injuries to the hand are presented.
Two patients present with soft tissue injuries to the hand with the nail embedded and intact at the injury site. Operative removal of the nail and wound care resulted in successful treatment in both cases. Nail-gun injuries to the hand vary in severity on the basis of the extent of structural damage. Treatment is based on the severity of injury and the presence and location of barbs on the penetrating nail.
Healthcare providers must understand and educate patients on the prevention mechanics of nail-gun injuries. Nail-gun injuries to the hand necessitate appropriate evaluation techniques, understanding of surgical management versus nonsurgical management, and awareness of potential pitfalls in treatment.
射钉枪是木工和建筑行业常用的工具。在采取适当安全预防措施的情况下正确使用时，它可以促进生产并提高效率；然而，这种强大的工具也有可能造成严重伤害。在工业和非职业环境中，手部是射钉枪损伤最常见的部位。
我们报告了两名手部射钉枪损伤患者。本文对射钉枪所致手部损伤的文献进行了综述，并对其临床评估和治疗进行了讨论。
两名患者手部均有软组织损伤，射钉嵌入且在损伤部位完整。手术取出射钉并进行伤口护理，两例均成功治愈。手部射钉枪损伤的严重程度因结构损伤程度而异。治疗基于损伤的严重程度以及穿透射钉上倒刺的存在情况和位置。
医疗服务提供者必须了解并向患者传授射钉枪损伤的预防方法。手部射钉枪损伤需要采用适当的评估技术，了解手术治疗与非手术治疗方法，并意识到治疗中可能存在的陷阱。
