{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:45:34Z","timestamp":1770813934647,"version":"3.50.1"},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,7]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>High-pressure injection injuries are rare but potentially devastating, often presenting with deceptively minor skin wounds that conceal extensive internal damage. This case highlights the Pressure, Anatomy, Content and Time of presentation classification system to standardise injury assessment and staged surgical management of an upper limb injury from a sealant gun: initial debridement and pedicled groin flap coverage, followed by extensor tendon reconstruction using a three-tailed fascia lata graft. Postoperative rehabilitation yielded full range of motion, restoration of grip strength from 25 kg to 42\u2009kg and return to occupational function. Thus emphasising timely and decisive intervention allowing return of complete hand function from an extensive injury.<\/jats:p>","DOI":"10.1136\/bcr-2025-270012","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T15:23:46Z","timestamp":1770737026000},"page":"e270012","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hand reconstruction after a high-pressure injection injury: review of biophysics and prognostic classification"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4323-6147","authenticated-orcid":false,"given":"Suvashis","family":"Dash","sequence":"first","affiliation":[{"name":"Plastic, Reconstructive and Burn Surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5449-3398","authenticated-orcid":false,"given":"Raja","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Plastic, Reconstructive and Burn Surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6282-9138","authenticated-orcid":false,"given":"Nandini Singh","family":"Tanwar","sequence":"additional","affiliation":[{"name":"Plastic, Reconstructive and Burn Surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saugata","family":"Samadder","sequence":"additional","affiliation":[{"name":"Plastic, Reconstructive and Burn Surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"2026021023550871000_19.2.e270012.1","first-page":"899","article-title":"High-pressure injection injuries to the upper extremity and the review of the literature","volume":"26","author":"Y\u0131ld\u0131ran","year":"2020","journal-title":"Ulus Travma Ve Acil Cerrahi Derg Turk J Trauma Emerg Surg TJTES"},{"key":"2026021023550871000_19.2.e270012.2","doi-asserted-by":"crossref","first-page":"586e","DOI":"10.1097\/PRS.0b013e31829f4bb4","article-title":"High-pressure injection injuries in the hand: current treatment concepts","volume":"132","author":"Amsdell","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"2026021023550871000_19.2.e270012.3","doi-asserted-by":"crossref","first-page":"331","DOI":"10.3109\/2000656X.2012.718895","article-title":"Late presentation of a case of high pressure cement injection injury to the hand","volume":"47","author":"Sirino\u011flu","year":"2013","journal-title":"J Plast Surg Hand Surg"},{"key":"2026021023550871000_19.2.e270012.4","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1055\/s-2007-1006639","article-title":"Successful reconstruction of a high-pressure injection injury of the hand using a first web flap of the foot","volume":"9","author":"Tanaka","year":"1993","journal-title":"J Reconstr Microsurg"},{"key":"2026021023550871000_19.2.e270012.5","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200608000-00010"},{"key":"2026021023550871000_19.2.e270012.6","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1007\/s00068-019-01106-4","article-title":"Management of industrial high-pressure fluid injection injuries (IHPFII): the Water Jetting Association (WJA) experience with water driven injuries","volume":"45","author":"Rodr\u00edguez-Villar","year":"2019","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2026021023550871000_19.2.e270012.7","doi-asserted-by":"crossref","unstructured":"Vitale E , Ledda C , Adani R , et al . Management of High-Pressure Injection Hand Injuries: A Multicentric, Retrospective, Observational Study. J Clin Med 2019;8. doi:10.3390\/jcm8112000","DOI":"10.3390\/jcm8112000"},{"key":"2026021023550871000_19.2.e270012.8","doi-asserted-by":"crossref","unstructured":"Simonis SA , de Lange DH . Facial high-pressure injection injury with air in a child. Int J Emerg Med 2024;17. doi:10.1186\/s12245-024-00756-5","DOI":"10.1186\/s12245-024-00756-5"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-270012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T07:55:15Z","timestamp":1770796515000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-270012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,10]]},"published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1136\/bcr-2025-270012"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-270012","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]}}}