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Fingertip Infections

James Barger1, Rohit Garg1, Frederick Wang1

  • 1Division of Hand Surgery, Department of Orthopaedic Surgery, Massachusetts General Hospital, MGH Orthopaedic Hand Surgery, Yawkey Center for Outpatient Care, 55 Fruit Street, Suite 2C, Boston, MA 02114-2696, USA.

Hand Clinics
|June 27, 2020
PubMed

Insights

This review covers fingertip infections, focusing on paronychia and felons. Proper management is crucial to avoid serious consequences, with guidance on surgical versus medical approaches.

Area of Science:

  • Dermatology
  • Hand Surgery
  • Infectious Diseases

Background:

  • Fingertip infections are common and can lead to severe outcomes if mismanaged.
  • Accurate diagnosis and treatment are essential for effective patient care.

Purpose of the Study:

  • To review the anatomy, pathophysiology, and treatment of fingertip infections.
  • To differentiate common infections from mimics like rheumatologic and oncologic conditions.

Main Methods:

  • Literature review of acute and chronic paronychia and felons.
  • Discussion of surgical vs. medical management, antibiotics, and wound care.
  • Presentation of conditions mimicking common fingertip infections.

Main Results:

  • Detailed review of paronychia and felon management strategies.
  • Emphasis on anatomical considerations of the volar fingertip pulp and perionychium.
  • Identification of differential diagnoses including infectious, rheumatologic, and oncologic conditions.

Conclusions:

  • Effective management of fingertip infections requires understanding unique anatomy and pathophysiology.
  • Awareness of mimic conditions is critical for accurate diagnosis and treatment.
  • This review provides a comprehensive guide for healthcare providers managing hand infections.
Keywords:
FelonFingertipHandInfectionParonychia

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