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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
Summary
This summary is machine-generated.

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.

Keywords:
FelonFingertipHandInfectionParonychia

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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.