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Related Concept Videos

Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Development of the Limb Synovial Joints01:07

Development of the Limb Synovial Joints

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Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
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Structural Joints: Synovial Joints01:16

Structural Joints: Synovial Joints

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Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
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Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Hand hygiene01:23

Hand hygiene

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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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Updated: Dec 17, 2025

Knee Arthrocentesis in Adults
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Septic Joints: Finger and Wrist.

Brian Chenoweth1

  • 1University of Oklahoma, 800 Stanton L Young Boulevard, Suite 3400, Oklahoma City, OK 73003, USA.

Hand Clinics
|June 27, 2020
PubMed
Summary

Prompt diagnosis and treatment of hand and wrist joint infections are crucial to prevent complications like stiffness. Early surgical intervention and antibiotics, followed by hand therapy, improve outcomes for penetrating trauma patients.

Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Hand Surgery

Background:

  • Hand and wrist joint infections pose a significant risk of morbidity.
  • Penetrating trauma is a common cause, leading to symptoms like redness, swelling, and pseudoparalysis.

Purpose of the Study:

  • To outline the diagnostic and management strategies for hand and wrist joint infections.
  • To highlight the importance of timely intervention and potential complications.

Main Methods:

  • Review of common presenting symptoms and diagnostic workup, including laboratory evaluation, arthrocentesis, and advanced imaging (radiographs, ultrasound, CT, MRI).
  • Discussion of treatment protocols involving prompt surgical debridement and antibiotic therapy.

Main Results:

Keywords:
InfectionInterphalangealMetacarpophalangealSeptic jointWrist

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  • Early diagnosis and expedited workup are essential.
  • Prompt surgical debridement and antibiotics are required upon identification of infection.
  • Hand therapy is initiated post-infection management to mitigate stiffness.

Conclusions:

  • Stiffness is the most common complication following joint infection.
  • Other potential complications include arthritis, ankylosis, and amputation.
  • A multidisciplinary approach involving surgery, antibiotics, and therapy is key to managing these infections effectively.