Necrosis of the 4th and 5th Digits after Intra-Articular Injection of Diazepam into the Wrist
Joint Authors
Iblher, Niklas
Penna, Vincenzo
Stark, Gerd Bjoern
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-09-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Iblher, Niklas& Stark, Gerd Bjoern& Penna, Vincenzo. 2011. Necrosis of the 4th and 5th Digits after Intra-Articular Injection of Diazepam into the Wrist. Case Reports in Surgery،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-464654
Modern Language Association (MLA)
Iblher, Niklas…[et al.]. Necrosis of the 4th and 5th Digits after Intra-Articular Injection of Diazepam into the Wrist. Case Reports in Surgery No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-464654
American Medical Association (AMA)
Iblher, Niklas& Stark, Gerd Bjoern& Penna, Vincenzo. Necrosis of the 4th and 5th Digits after Intra-Articular Injection of Diazepam into the Wrist. Case Reports in Surgery. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-464654
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464654
