High-pressure Injection Injury with Molten Aluminum

INTRODUCTION A previously healthy 65-year-old male presented to the emergency department complaining of a burn to his right forearm. Just prior to arrival the patient was working at a tool and die company casting products with molten aluminum where he inadvertently caused his injury. Physical examination revealed a burn to the right forearm of varying degrees of severity. A non-painful charred central area was observed with surrounding erythema and swelling (Figure 1). Patient had full motor strength of his wrist and elbow. He also had normal neuro-vascular status distal to the injury. A radiograph was performed to assess the depth of the injury (Figure 2).