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Nail gun injury to the median nerve a barbed issue.pdf (2.56 MB)

Nail gun injury to the median nerve: a barbed issue

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posted on 2024-05-01, 16:22 authored by S Chintapalli, E Phoenix, S Cullen, R Dolan

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. 

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The original article is available at https://www.sciencedirect.com/

Published Citation

Chintapalli S, Phoenix E, Cullen S, Dolan R. Nail gun injury to the median nerve: A barbed issue. Trauma Case Rep. 2024;51:100997.

Publication Date

21 March 2024

PubMed ID

38577630

Department/Unit

  • Surgery

Publisher

Elsevier Ltd.,

Version

  • Published Version (Version of Record)

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