Grease Gun Injury Research Articles

Grease-gun injury of the orbit: two cases report and literature review

BackgroundThe grease-guns injury is an uncommon injury to the orbit. We present the twelfth and thirteenth cases of grease-gun injury to the orbit to be reported in the English language literature since 1964. Here we discus and review the presentation, investigation, and treatment of this unusual trauma.Case presentationCase 1 was a 29-year-old man who presented 1 day after a grease-gun injury of the left orbit with severe pain, marked periorbital swelling, and proptosis. Computed tomography (CT) revealed penetration of grease into his left orbit. Following surgical removal, proptosis decreased. The limitation of extraocular movement and loss of visual acuity to finger count was discovered after the initial surgery. Motility gradually returned. Visual acuity recovered after phacoemulsification, capsular tension ring and intraocular lens implantation for traumatic cataract and subluxation. Case 2 was a 6-year-old boy who was referred 2 months after a grease-gun injury for worsening swelling with sinus, necrosis and slight ptosis of the upper left eyelids. This is a case of orbital chronic inflammation from grease-gun injuries masquerading as orbital cellulitis. The imaging findings of CT and magnetic resonance imaging (MRI) are not typical. Surgical exploration and debridement was inevitable and actually relieved the symptoms.ConclusionsGrease-gun injuries can damage the orbit in different degrees. Careful history inquiry and taking is important to establish the diagnosis. Imaging examinations using CT or MRI are helpful to determine depth of trauma and foreign bodies in the orbit at diagnosis. We suggest that surgical exploration and debridement is a key step in the management.

Traumatic Optic Neuropathy Accompanying Orbital Grease Gun Injury

We report a case of traumatic optic neuropathy accompanying a grease gun injury to the orbit. A 48-year-old man with a grease gun injury visited our clinic with decreased visual acuity, proptosis and limited extraocular movement (EOM). Orbital CT revealed a crescent mass of fat in the medial intraconal space. The grease was exuded from a lacerated conjunctival wound. The visual evoked potential (VEP) test demonstrated a decreased response in the left eye. Proptosis and EOM were improved after surgical removal of the grease. Systemic high-dose corticosteroid therapy was administered for suspected traumatic optic neuropathy, after which VEP nearly recovered, while visual acuity was slightly improved. A second surgery for traumatic cataract did not further improve visual acuity.

Delayed Presentation of Grease-Gun Injury to the Orbit

A 44-year-old man was examined for marked edema and ptosis of the right upper eyelid after grease from high-pressure hydraulic machinery penetrated his right orbit 20 days earlier. The diagnosis of residual grease in the injured orbit was confirmed by CT and MRI, and the clinical presentation. During orbital exploration, the grease was removed completely. Among the wide variety of orbital foreign bodies, grease is rarely reported. We present the sixth case of grease-gun injury to the orbit to be reported in the English language literature since 1964.

High-pressure Injection Injuries to the Upper Extremity: A Review of the Literature

The purpose of this review was to identify the relative impact of injected material, location of injury, time to debridement, injection pressure, infection, and the use of adjuvant steroid medication upon the need for amputation after high-pressure injection injuries to the upper extremity. A Medline literature search extending from 1966 to December 2003 was performed, referencing the key words "high-pressure injection injury," "grease gun injury," "paint gun injury," "pressure gun injury," and "high-pressure injection." The results were limited to the English language and to reports involving human subjects. Each abstract was reviewed to confirm that the described injury had occurred in the upper extremity and that it had truly been a high-pressure injection. The reference pages from each of the papers were reviewed to identify additional reports of high-pressure injection injury. Manuscripts describing injuries resulting from hand held syringes or other low-pressure mechanisms were excluded. All of the manuscripts were analyzed to identify the clinical outcome, age, hand dominance, site of injection, substance injected, injection pressure, elapsed time to wide debridement, use of steroids, and incidence of infection. These variables were subjected to a Pearson chi test to determine their impact upon the need for amputation. Four hundred thirty-five cases of high-pressure injection injury to the upper extremity were identified. The amputation rate after these injuries was 30%. The location of the injury and the material injected contributed significantly to the need for amputation. For injections of paint, paint thinner, gasoline, oil, or jet fuel (organic solvents), the amputation risk was lower if wide surgical debridement occurred within 6 hours of injury. Steroids did not impact the amputation rate or incidence of infection. The presence of infection did not affect the incidence of amputation. The risk of amputation after high-pressure injection injury to the upper extremity is highest with organic solvent injection into the fingers. Injections into the thumb or palm result in a much lower frequency of tissue loss. Emergent surgical debridement reduces the amputation risk after injections of organic solvents. From the available data, no conclusions could be reached regarding functional outcomes, other than amputation, after high-pressure injection injury.

Grease-gun injury.

Journal Article Grease-gun injury Get access E A Benson E A Benson Registrar The General Infirmary, Leeds Search for other works by this author on: Oxford Academic Google Scholar British Journal of Surgery, Volume 56, Issue 5, May 1969, Pages 397–399, https://doi.org/10.1002/bjs.1800560521 Published: 07 December 2005

Intraconal Grease-Gun Injury: A Therapeutic Dilemma

The case of a 31-year-old man with an accidental grease-gun injury to his left orbital region is presented. CT and MRI showed a well-delineated intraconal cyst in the superior aspect of the left orbit surrounded by a significant inflammatory response. The patient was followed for 11 months. Diplopia was not reported at any time, and visual acuity, visual fields, and all other examinations remained normal. Uneventful surgical removal was performed at the patient's request. Histopathologic examination demonstrated a typical picture of lipogranulomatous inflammation. In a review of the accessible literature, only four cases of intraorbital grease-gun injuries were detected; all of them submitted to early surgical removal. We conclude, however, that an intraconal oil/grease cyst can be carefully monitored and--in the absence of symptoms--must not necessarily be removed.

Penetrating grease gun injury in the face

We present the case of a sailor who sustained a penetrating grease gun injury to his face, and the challenging subsequent series of events.

Pneumonitis following grease gun injury

Grease gun trauma often involves subcutaneous injection of the grease because of the high pressures required for its industrial application. The case is presented of a man who developed a pneumonitis shortly after sustaining a grease gun injury, with injection of grease into his upper thigh associated with significant vascular damage. Pneumonitis has not previously been reported with this type of injury, and is likely to represent a systemic reaction to the local inflammatory response. Management of these injuries should incorporate early debridement with anticipation of underlying vascular trauma, and also an awareness of the potential systemic complications.

Grease-gun injury to the penis

Accidental high-pressure injection of oils—grease-gun injury—has become increasingly common. We report a non-accidental variant.

Grease Gun Injury of a Hand

CAPT. NAGLE was graduated from Leavesden Hospital School of Psychiatric Nursing, Abbotts Langley, Watford, Hertfordshire, England; and from Hillingdon Hospital School of General Nursing, Uxbridge, Middlesex, England. He came to United States in 1960 and worked in various nursing positions in Chicago area, his last civilian post being director of inservice education at St. Elizabeth's Hospital. He has served in Nurse Corps of USAF since 1966 and says that in every base he has been known as the Limey leftenant. Recently promoted to captain, he went to Vietnam as a flight nurse in April. grease it with a pneumatic grease gun. To make sure it was loade , he squeezed trigger, with nozzle pointed at his left palm. Unknow to him, grease gun had been improperly adjusted. Instead of normal pressure of 90 pounds per square inch, he was injected with grease at a pressure of approximately 200 pounds per square inch. H immediately felt pain in his hand but saw only two small puncture wounds in palm near base of third finger. Sgt. C. reported to hospital at once. By time he arrived there, pain was gone and there was no swelling. He could move all fingers through full range, but experienced slight pain when flexing and extending third finger. No one knew at this time how much grease, if any, had been injected into tissues.

Grease Gun Injury of a Hand

Grease Gun Injury of a Hand

Grease gun injury

Grease gun injury

GREASE–GUN INJURY

Medical Journal of AustraliaVolume 1, Issue 7 p. 257-257 Current Comment GREASE–GUN INJURY First published: 01 February 1961 https://doi.org/10.5694/j.1326-5377.1961.tb82454.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume1, Issue7February 1961Pages 257-257 RelatedInformation