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Veins of Upper Limbs01:17

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The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
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The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
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The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
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The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
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Hand Abscesses: Volar and Dorsal.

Mark S Rekant1, Ryan Tarr2

  • 1Philadelphia Hand to Shoulder Center, Philadelphia, PA 19107, USA; Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA; Patricia Lincke, 1888 Marlton Pike East, Suite E, Cherry Hill, NJ 08057, USA.

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Accurate diagnosis and surgical management of deep hand infections require understanding anatomy. Early intervention with drainage, debridement, and rehabilitation ensures effective treatment and recovery.

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Area of Science:

  • Hand surgery
  • Infectious diseases
  • Orthopedic surgery

Background:

  • Deep space infections of the hand pose diagnostic and management challenges.
  • Effective treatment relies on a strong understanding of hand anatomy and function.

Purpose of the Study:

  • To outline surgical approaches for managing deep-space hand infections.
  • To emphasize the importance of early diagnosis and comprehensive treatment strategies.

Main Methods:

  • Surgical drainage and debridement of infected tissues.
  • Intraoperative and continuous postoperative irrigation.
  • Systemic antibiotic administration.
  • Early involvement of hand therapy for rehabilitation.

Main Results:

  • Initial surgical steps include drainage, debridement, and irrigation.
  • Postoperative continuous irrigation decisions are based on intraoperative findings.
  • Thorough postoperative evaluation and antibiotics are crucial for successful outcomes.

Conclusions:

  • A high index of suspicion and anatomical knowledge are key for diagnosing hand infections.
  • Effective management involves surgical intervention, antibiotics, and early hand therapy.
  • Multidisciplinary approach leads to successful management of deep soft tissue abscesses.