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Upper extremity wound management.

L E Weeks¹, L R Scheker

¹Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, KY.

The Journal of the Kentucky Medical Association

|July 1, 1990

Summary

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Prompt treatment of hand infections is crucial to prevent permanent disability. Differentiating between surgical and non-surgical interventions for conditions like paronychia, felons, and herpetic whitlow is essential for effective patient outcomes.

Area of Science:

Hand surgery
Infectious diseases

Background:

Hand infections pose a significant risk of permanent disability if not managed promptly.
Certain injuries like glass wounds and high-pressure injections necessitate urgent surgical evaluation.

Purpose of the Study:

To outline indications for surgical versus non-surgical management of common hand infections.
To differentiate treatment approaches for paronychia, felons, and herpetic whitlow.

Main Methods:

Review of common hand infections and their typical clinical presentations.
Analysis of established treatment protocols for various hand infections.
Emphasis on differential diagnosis and timely intervention.

Main Results:

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Paronychia requires surgical intervention in later stages, while early stages respond to conservative measures.

Felons (distal pulp abscesses) mandate surgical treatment.

Herpetic whitlow, though clinically similar, is viral and contraindicates surgery.

Conclusions:

Appropriate and timely diagnosis is critical for effective hand infection management.
Surgical intervention is indicated for specific conditions like felons and advanced paronychia.
Conservative management is effective for early paronychia, and surgery is contraindicated for herpetic whitlow.