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Hand Infections

John C Koshy1, Bryce Bell2

  • 1Division of Plastic Surgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX.

The Journal of Hand Surgery
|July 19, 2018
PubMed

Insights

Prompt identification and management of severe hand infections, like flexor tenosynovitis and necrotizing fasciitis, are crucial for optimal surgical outcomes and preventing permanent deficits. This review aids in distinguishing urgent cases from less severe infections.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Hand Surgery

Background:

  • Hand infections are prevalent in surgical practice.
  • Prompt management is essential for favorable outcomes.
  • Severe infections necessitate urgent intervention.

Purpose of the Study:

  • To review hand infections.
  • To focus on identifying severe infections requiring urgent treatment.
  • To differentiate urgent from non-urgent scenarios.

Main Methods:

  • Literature review of hand infections.
  • Analysis of clinical and laboratory indicators for severe infections.
  • Comparison of urgent versus non-urgent management strategies.

Main Results:

  • Delayed diagnosis of severe hand infections is common due to variable indicators.
  • Missed or delayed diagnoses can lead to poor functional outcomes.
  • Urgent medical and surgical management is critical for specific severe infections.

Conclusions:

  • Early recognition of severe hand infections is paramount.
  • Distinguishing between urgent and non-urgent hand infections improves patient outcomes.
  • Timely intervention prevents permanent hand deficits.
Keywords:
Felonflexor tenosynovitishand infectionnecrotizing fasciitisparonychia

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