{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,27]],"date-time":"2025-07-27T07:25:54Z","timestamp":1753601154348},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,11,8]],"date-time":"2013-11-08T00:00:00Z","timestamp":1383868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aims of this research were to characterise the injury patterns associated with nail guns, highlight their potential complications and review treatment options.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective case series was conducted of all patients with a nail gun injury to the upper or lower limb who presented to the Princess Alexandra Hospital from 1 <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2007 to 30 <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Young men in the work environment were at most risk of sustaining a nail gun injury to their non\u2010dominant hand. Out of 87 cases identified, 29% were intra\u2010articular, 16% had evidence of neurovascular injury, 24% involved bone and 37% had evidence of tendon injury. Fifty\u2010eight per\u2009cent underwent operative management, 32% were treated solely in the ED and 10% were transferred to a private facility. At the time of operation, 14% of cases had tendon, joint or neurovascular involvement and 20% had retained foreign material. The median length of operation was 17\u2009min and no anaesthetic complications were identified. Four (13%) patients had ongoing pain, paraesthesia or stiffness at the time of follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study characterises the injury patterns caused by nail guns. Treatment of these injuries should be based on clinical findings; however, the majority of cases should undergo surgical treatment. The required operation is a short and safe treatment modality that might allow a thorough assessment of the injury, removal of embedded material, repair of structural damage and a sterile washout to be performed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12143","type":"journal-article","created":{"date-parts":[[2013,11,8]],"date-time":"2013-11-08T08:04:59Z","timestamp":1383897899000},"page":"603-607","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Eighty\u2010seven cases of a nail gun injury to the extremity"],"prefix":"10.1111","volume":"25","author":[{"given":"Shi\u2010Neng James","family":"Ling","sequence":"first","affiliation":[{"name":"Orthopaedics Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie Chuen\u2010Ying","family":"Ong","sequence":"additional","affiliation":[{"name":"Orthopaedics Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Bevan","family":"North","sequence":"additional","affiliation":[{"name":"Orthopaedics Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,11,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2190\/NS.20.3.g"},{"key":"e_1_2_8_3_1","first-page":"33","article-title":"Pneumatic nailer injuries: a report on Washington State 1990\u20131998","volume":"46","author":"Baggs J","year":"2001","journal-title":"Prof. Saf."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199107000-00027"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(94)90114-7"},{"key":"e_1_2_8_6_1","first-page":"113","article-title":"Life\u2010threatening nail gun injuries","volume":"65","author":"Beaver AC","year":"1999","journal-title":"Am. 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