Internal and external injuries after high pressure water jet injuries are dispropotional. This situation refers to a misjudgement of vital injuries. Because of there is no approved treatment algorithm to evaluate this type of injuries, treatment and diagnosis are controversial. In our study we presented a patient with a high pressure water jet injury of 4th digit, to take attention of the general properties of this type of injuries with accompanied literature review.
Key words: High Pressure Water Jet, hand, injury, algorithm
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