Institute of Clinical Epidemiology, University of the Philippines Manila, Manila, Philippines.
Department of Orthopedics, University of the Philippines-Philippine General Hospital, Manila, Philippines
BMJ Case Rep. 2022 Oct 11;15(10):e250439. doi: 10.1136/bcr-2022-250439.
Sharps and needlestick injuries are serious work-related injuries to the hand in healthcare workers (HCWs). We present two cases of HCWs with hand injuries from opening a medicinal glass ampoule. The index finger (IF) was involved in both cases, with an associated flexor tendon injury, presenting as inability to flex the proximal and distal interphalangeal joints. Sensation was intact, and radiographs showed no foreign body.The surgical repair of the flexor tendon injury was carried out using the Wide-awake Local Anaesthesia No Tourniquet technique. The quality of the repair was tested intraoperatively. Physiotherapy involved gradual progression of finger flexion from 30% to 50% to full range of motion. At 36 and 42 months follow-up, they regained the IF range of motion and returned to work.Flexor tendon injuries from opening medicinal glass ampoules are rare but can be devastating, with a long rehabilitation process after surgical repair.
锐器和针刺伤是医护人员(HCWs)手部严重的职业性损伤。我们报告了 2 例 HCWs 因开启药用玻璃安瓿而受伤的病例。食指(IF)均受累,伴有屈肌腱损伤,表现为近侧和远侧指间关节不能弯曲。感觉完好,X 线片未见异物。使用清醒局部麻醉无止血带技术对屈肌腱损伤进行了手术修复。术中测试了修复质量。理疗包括手指弯曲从 30%到 50%逐渐进展到全范围活动。在 36 个月和 42 个月的随访中,他们恢复了 IF 的活动范围并重返工作岗位。开启药用玻璃安瓿导致的屈肌腱损伤虽然罕见,但可能很严重,手术后需要很长的康复过程。