Necrosis of the 4th and 5th Digits after Intra-Articular Injection of Diazepam into the Wrist

Autor: Niklas Iblher, Gerd Bjoern Stark, Vincenzo Penna
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Case Reports in Surgery, Vol 2011 (2011)
Druh dokumentu: article
ISSN: 2090-6900
2090-6919
DOI: 10.1155/2011/347523
Popis: A 75-year-old woman presented with progressing pain, cyanosis, and hypaesthesia in her left hand after an intra-articular injection with diazepam into the wrist for osteoarthritis-related pain. Due to an iatrogenic intra-arterial injection, malperfusion of the ulnar digits developed. Angiography revealed blockage of perfusion of the 4th and 5th digits. Despite intra-arterial lysis, heparinisation, and vasodilatation, perfusion could not be reinstalled. Necrosis of the distal phalanges of the 4th and 5th digits developed, which had to be treated with amputation. The pathomechanism of tissue damage and the treatment options after intra-arterial injections are reviewed and discussed.
Databáze: Directory of Open Access Journals
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