Journal List > J Korean Orthop Assoc > v.48(1) > 1013237

Shin, Byun, and Choi: Extravasation Injury of Forearm by Computed Tomography Contrast Medium

Abstract

In recent years, there has been a noticeable increase in contrast media extravasation injury. However, definite guidelines for the treatment of the injury have not yet been established, although it causes severe complications such as compartment syndrome, skin necrosis etc. We try to introduce conservative management with a thorough review of the relevant literatures about successful treatment and functional restoration from contrast media extravasation injury without any complications.

Figures and Tables

Figure 1
Clinical appearance of the upper extremity shows (A) tissue tension, global swelling, and blisters in the volar region 5 hours after the injury, and (B) radiographs of forearm and humerus 2 hours after the injury show a considerable extension of extravascular contrast.
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Figure 2
Clinical appearance of the upper extremity shows (A) the improvement of swelling without additional bullae formation, and (B) radiographs of the forearm and humerus show nearly contrast-absorption, except for some proximal brachium portion, 2 days after the injury.
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Figure 3
Clinical appearance of the upper extremity shows (A) complete remission of externals without any complications, and (B) radiographs of the forearm and humerus show no extra remaining contrast 3 months after the injury.
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Table 1
Details of Authors Cases of References
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Classifiying the sort of contrast, the use of infusion pump, the amount of extravascular contrast and its treatment. We have known that almost conservative therapy gets better results at using the latest nonionic, hyposmotic contrast, in comparison with ionic, hyperosmotic contrast. Osm, osmorality.

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