Fig. 1.

High pressure injection injury in a 33-year-old industrial painter. a Clinical aspect at admission: small punctiform palmar skin lesion at left MCP II level. b X-ray of the left hand with radio dense fluid on MCP II and on the hand palm oblique view. c X-ray of the left hand with radio dense fluid on MCP II and on the hand palm dorso-palmar view. d Clinical aspect intraoperatively: planning of Incision. e Clinical aspect intraoperatively: exploration and debridement of the paint and necrotic tissue on the palmar side. f Clinical aspect intraoperatively: debrided tissue. g Clinical aspect intraoperatively: planning of dorsal Incision. h Clinical aspect intraoperatively: exploration of the dorsal side. i Clinical aspect 3 years post-operatively: complete finger flexion. j Clinical aspect 3 years post-operatively: complete finger extension (plantar view). k Clinical aspect 3 years post-operatively: complete finger extension (lateral view)