Abstract
We have treated a patient with hand injury caused by the injection of paint from a high pressure spray gun. The patient was a seventeen-year-old right handed painter, who was injured to the base of the left thenar, and admitted 7 clays after the injury. On admission, lacal findings showed wide spreading swelling and necrosis of the subcutaneous tissue of the whole hand, and partial necrosis of the skin. Wide debridement and decompression incision were carried out and, moreover, he was treated with hyperbaric oxygen therapy four times during the following 7 days. Swelling was promptly subsided and he was discharged 8 weeks after the operation leaving the small granulated wound at the thenar. At one year and four months after the operation, he had no functional disturbance of the hand except for mild restriction of extention of the IP joint of the thumb. We discussed the mechanism of effects of hyperbaric oxygen therapy for the spray gun injury.
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