• J Hand Surg Am · Jan 1988

    Case Reports

    Ischemic injury of the hand from intra-arterial propylhexedrine injection.

    • D C Covey, B D Nossaman, and J A Albright.
    • Department of Orthopaedic Surgery, Louisiana State University School of Medicine, Shreveport 71130-3932.
    • J Hand Surg Am. 1988 Jan 1; 13 (1): 58-61.

    AbstractA number of adverse consequences can result in the upper limb from parenteral drug abuse. Propylhexedrine, a drug similar to amphetamine, is easily obtained and causes severe injury to the limb when injected intra-arterially. This report describes an inadvertent case of intra-arterial propylhexedrine injection into the radial artery, the natural course of which resulted in digital amputations. The cause and diagnosis of this injury is discussed, and a protocol for treatment is presented.

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