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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

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Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
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Bones of the Upper Limb: Humerus01:19

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Hand hygiene01:23

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Bones of the Upper Limb: Radius01:09

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
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Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

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Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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A Murine Model of Hemodialysis Access-Related Hand Dysfunction
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Osteomyelitis of the hand.

R Pinder1, G Barlow2

  • 1Department of Plastic, Hand and Reconstructive Surgery, Castle Hill Hospital, Cottingham, UK rich.pinder@doctors.org.uk.

The Journal of Hand Surgery, European Volume
|October 21, 2015
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Hand osteomyelitis requires prompt treatment to prevent devastating functional loss. Management involves surgical debridement and targeted antibiotics, though optimal duration and method are still being researched.

Keywords:
Osteomyelitisantibioticsbone infectionhand

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Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Hand Surgery

Background:

  • Osteomyelitis of the hand is a rare but serious condition.
  • Untreated hand osteomyelitis can lead to severe, permanent loss of hand function.
  • Most research on osteomyelitis focuses on the lower limbs, with less specific data for the hand.

Purpose of the Study:

  • To review the principles of managing hand osteomyelitis.
  • To highlight the importance of timely and appropriate treatment for preserving hand function.

Main Methods:

  • Surgical debridement is a key component of treatment.
  • Culture-guided antimicrobial therapy is essential.
  • Standard antibiotic duration for osteomyelitis is typically 4-6 weeks (IV and/or oral).

Main Results:

  • Principles of lower limb osteomyelitis management are applicable to the hand.
  • Effective treatment relies on thorough surgical cleaning and antibiotics guided by culture results.

Conclusions:

  • Prompt and adequate treatment, including surgical debridement and culture-guided antibiotics, is crucial for managing hand osteomyelitis.
  • The optimal duration and route of antibiotic administration for hand osteomyelitis require further investigation.