High pressure paint injection injury to the palm - a rare case

45 year old painter was brought with swelling of the palm following a work place accident. Kanavel's sign was positive and no external wound was present. X rays showed radio opaque shadows along the fibrous flexor sheath. The palm was explored, and showed paint tracking throughout the length of the flexor sheath. The affected sheath was excised and wound closed primarily. Post op recovery was uneventful and the patient regained full movement of all fingers in a 3 month follow up