Related Experiment Video

Updated: Nov 2, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

816

[Paronychia and Felons - Surgical Treatment]

Martin F Langer1, Jörg G Grünert2, Christian K Spies3

  • 1Universitätsklinikum Münster; Klinik für Unfall-, Handund Wiederherstellungschirurgie.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|June 16, 2021
PubMed

Insights

Hand infections, including paronychia and felons, are common distal phalanx infections. Proper treatment requires understanding nail anatomy for acute paronychia and recognizing felon complications like bone or tendon sheath spread.

Area of Science:

  • Hand surgery
  • Infectious diseases
  • Anatomy

Background:

  • Distal phalanx infections are the most frequent hand infections.
  • These include dorsal infections (paronychia) and palmar infections (felons).
  • Acute paronychia requires precise anatomical knowledge for effective drainage.

Purpose of the Study:

  • To differentiate between paronychia and felons.
  • To highlight the importance of anatomical knowledge in treating distal phalanx infections.
  • To discuss potential complications of felons.

Main Methods:

  • Review of anatomical structures of the distal phalanx and nail bed.
  • Classification of hand infections based on location (dorsal vs. palmar).
  • Discussion of treatment principles for acute paronychia and potential complications of felons.

Main Results:

  • Acute paronychia treatment necessitates specific incision techniques based on infection site and nail anatomy.
  • Felons present with significant pain due to limited swelling caused by fibrous septa.
  • Destruction of fibrous septa in felons can lead to spread into bones or tendon sheaths.

Conclusions:

  • Accurate anatomical understanding is crucial for managing acute paronychia.
  • Felons pose a risk of severe complications if fibrous septa are compromised.
  • Distinguishing and appropriately managing these common hand infections is vital for patient outcomes.

More Related Videos

Polytetrafluoroethylene PTFE as a Suture Material in Tendon Surgery09:13

Polytetrafluoroethylene PTFE as a Suture Material in Tendon Surgery

Published on: October 6, 2022

3.6K

Related Concept Videos

Hand hygiene01:23

Hand hygiene

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.
Hand washing...
4.9K
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
60
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
90
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
4.1K