{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:40Z","timestamp":1787017060834,"version":"build-2736575974"},"reference-count":24,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T00:00:00Z","timestamp":1665446400000},"content-version":"unspecified","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,23]]},"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>Sharps and needlestick injuries are serious work-related injuries to the hand in healthcare workers (HCWs). We present two cases of HCWs with hand injuries from opening a medicinal glass ampoule. The index finger (IF) was involved in both cases, with an associated flexor tendon injury, presenting as inability to flex the proximal and distal interphalangeal joints. Sensation was intact, and radiographs showed no foreign body.<\/jats:p>\n                  <jats:p>The surgical repair of the flexor tendon injury was carried out using the Wide-awake Local Anaesthesia No Tourniquet technique. The quality of the repair was tested intraoperatively. Physiotherapy involved gradual progression of finger flexion from 30% to 50% to full range of motion. At 36 and 42 months follow-up, they regained the IF range of motion and returned to work.<\/jats:p>\n                  <jats:p>Flexor tendon injuries from opening medicinal glass ampoules are rare but can be devastating, with a long rehabilitation process after surgical repair.<\/jats:p>","DOI":"10.1136\/bcr-2022-250439","type":"journal-article","created":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T12:40:13Z","timestamp":1665492013000},"page":"e250439","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Flexor tendon laceration of the hand from opening a glass ampoule"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9114-9190","authenticated-orcid":false,"given":"Emmanuel Pantaleon","family":"Estrella","sequence":"first","affiliation":[{"name":"Institute of Clinical Epidemiology, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5076-4648","authenticated-orcid":false,"given":"Sarah Olivia Javier","family":"Gavino","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of the Philippines-Philippine General Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,10,11]]},"reference":[{"key":"2025082710591707000_15.10.e250439.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12199-018-0734-z","article-title":"Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals: an updated meta-analysis","volume":"23","author":"Ghanei Gheshlagh","year":"2018","journal-title":"Environ Health Prev Med"},{"key":"2025082710591707000_15.10.e250439.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017761"},{"key":"2025082710591707000_15.10.e250439.3","first-page":"79","article-title":"Needle-Stick and sharp injuries incidents among healthcare workers: an updated survey","volume":"3","author":"Bairami","year":"2014","journal-title":"Int J Hosp Res"},{"key":"2025082710591707000_15.10.e250439.4","doi-asserted-by":"crossref","first-page":"54","DOI":"10.18295\/squmj.2020.20.01.008","article-title":"Needle stick and sharp injuries among healthcare workers: a retrospective six-year study","volume":"20","author":"Saadeh","year":"2020","journal-title":"Sultan Qaboos Univ Med J"},{"key":"2025082710591707000_15.10.e250439.5","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1111\/j.1365-2044.1995.tb06105.x","article-title":"The use of protective gloves, the incidence of ampoule injury and the prevalence of hand laceration amongst anaesthetic personnel","volume":"50","author":"Parker","year":"1995","journal-title":"Anaesthesia"},{"key":"2025082710591707000_15.10.e250439.6","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/S0034-7094(11)70059-9","article-title":"Glass ampoules: risks and benefits","volume":"61","author":"Carraretto","year":"2011","journal-title":"Rev Bras Anestesiol"},{"key":"2025082710591707000_15.10.e250439.7","unstructured":"Seven Things About Ampoule Injuries You Need To Know [Internet]. Qlicksmart Australia, 2022. 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Philadelphia, PA: Elsevier, 2022."},{"key":"2025082710591707000_15.10.e250439.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.11.006"},{"key":"2025082710591707000_15.10.e250439.18","article-title":"Outcome of surgical repair and rehabilitation of flexor tendon injuries in zone II of the hand: systematic review and meta-analysis","author":"Xu","year":"2022","journal-title":"J Hand Surg Am"},{"key":"2025082710591707000_15.10.e250439.19","first-page":"155894472110643","article-title":"Functional outcomes of flexor tendon repair in the fingers: a comparison of Wide-Awake local anesthesia no tourniquet versus traditional anesthesia","volume":"7","author":"Townsend","year":"2022","journal-title":"Hand"},{"key":"2025082710591707000_15.10.e250439.20","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.hansur.2021.10.312","article-title":"Operative outcomes for wide awake local anesthesia versus regional and general anesthesia for flexor tendon repair","volume":"41","author":"Kadhum","year":"2022","journal-title":"Hand Surg Rehabil"},{"key":"2025082710591707000_15.10.e250439.21","article-title":"A review of 1073 cases of Wide-Awake-Local-Anaesthesia-No-Tourniquet (WALANT) in finger and hand surgeries in an urban hospital in Malaysia","volume":"13","author":"Abdullah","year":"2021","journal-title":"Cureus"},{"key":"2025082710591707000_15.10.e250439.22","doi-asserted-by":"crossref","first-page":"e529","DOI":"10.3928\/01477447-20200827-03","article-title":"Wide-Awake surgery with local anesthesia and epinephrine is safe","volume":"43","author":"Ilyas","year":"2020","journal-title":"Orthopedics"},{"key":"2025082710591707000_15.10.e250439.23","unstructured":"Centers for Disease Control and Prevention (CDC) . 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Available: http:\/\/www.cdc.gov\/sharpssafety\/index.html [Accessed 31 Oct 2021]."},{"key":"2025082710591707000_15.10.e250439.24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2006.04789.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-250439","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:59:26Z","timestamp":1756317566000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-250439"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":24,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,11]]},"published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1136\/bcr-2022-250439"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-250439","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}