52 results match your criteria: "Hand Paronychia Drainage"

Article Synopsis
  • - Herpetic whitlow is a viral infection of the fingers or toes caused by the herpes simplex virus, leading to symptoms like pain, swelling, and vesicle formation.
  • - Proper diagnosis is crucial as it can be confused with other conditions, like paronychia or bacterial cellulitis, which may result in unnecessary treatments.
  • - An atypical case of herpetic whitlow in the right hallux demonstrated a delayed diagnosis, where lesions were found to be positive for herpes simplex virus type 1, leading to the use of antiviral and antibiotic treatments post-discharge.
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Fingertip Infections.

Hand Clin

August 2020

Division 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. Electronic address:

Article Synopsis
  • Fingertip infections are common and can lead to serious complications if not managed properly, making them a significant concern for various healthcare providers.
  • The review explores the specific anatomy of the fingertip and surrounding areas, as well as treatment options for both acute and chronic infections, emphasizing the importance of choosing appropriate medical or surgical methods.
  • It also discusses "felons" and potential conditions that can resemble fingernail infections, which healthcare providers need to recognize to ensure proper diagnosis and treatment.
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The treatment of onychogryphosis of hand nails by total matricectomy and dorsal V-Y advancement flap.

Jt Dis Relat Surg

September 2020

Department of Orthopedics and Traumatology, Kayseri City Hospital, Kayseri, Turkey.

Objectives: This study aims to report the outcomes of dorsal V-Y advancement flap technique used for the reconstruction of surgical defects following total matricectomy performed for the onychogryphosis of hand nails.

Patients And Methods: A total of 18 consecutive patients (10 males, 8 females; mean age 38.4 years; range, 24 to 41 years) with 20 onychogryphotic hand nails who underwent total matricectomy and dorsal V-Y advancement flap technique were analyzed retrospectively between June 2015 and March 2018.

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Article Synopsis
  • Cutaneous tuberculosis (TB) is uncommon and even rarer when affecting the nails, typically seen only as a secondary issue.
  • A 76-year-old woman presented with nail abnormalities and persistent purulent drainage, which had not improved with other treatments, leading to a biopsy that confirmed TB.
  • After ruling out pulmonary TB and identifying the skin issues, she was successfully treated with a specific antibiotic regimen, leading to complete healing of her nail condition.
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Techniques for Continuous Irrigation of Septic Joints of the Hand.

Tech Hand Up Extrem Surg

September 2019

Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore.

Article Synopsis
  • * The proposed treatment includes surgery for drainage and also introduces a method of continuous joint irrigation using an IV cannula connected to a pump for fluid delivery.
  • * All patients treated with this method showed good recovery, maintaining full joint motion and achieving a low impairment score at follow-up, indicating the technique is effective and has minimal risks.
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Article Synopsis
  • Acute hand infections can be superficial or deep, with superficial infections occurring in the skin and deeper infections affecting tendons, joints, and bones.
  • Superficial infections like paronychia and felons are usually treated with warm soaks, splinting, and antibiotics, while deep infections like pyogenic flexor tenosynovitis require more aggressive treatment including surgery.
  • Conditions from herpes simplex virus, like herpetic whitlow, typically resolve on their own, but deep infections necessitate quick medical attention to avoid complications.
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Hand Infections.

J Hand Surg Am

January 2019

Department of Orthopedic Surgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX. Electronic address:

Article Synopsis
  • * Severe infections like flexor tenosynovitis and necrotizing fasciitis need immediate attention, while most infections are not urgent.
  • * The article reviews hand infections, emphasizing the need for quick identification of serious cases to prevent long-term complications.
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Article Synopsis
  • - Paronychia is an infection of the skin around nails, uncommon in newborns, particularly those under 2 weeks old, usually linked to trauma and specific bacteria like Staphylococcus aureus in adults and different bacteria in kids who suck their fingers.
  • - This case report highlights a rare instance of paronychia in a newborn caused by methicillin-resistant Staphylococcus aureus, detailing the management through surgical incision and antibiotic treatment.
  • - It concludes that newborns with oral soothing habits may be at higher risk for this infection, recommending broad-spectrum antibiotics and surgical intervention as effective treatments.
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Article Synopsis
  • Paronychia, an infection or inflammation around the fingernail, is common and can be caused by bacteria, fungi, or noninfectious factors like chemical irritants and moisture.
  • Acute paronychia may lead to abscesses that could either drain on their own or need medical intervention, including antibiotics and local care.
  • Chronic paronychia can result in nail changes like thickening and discoloration, and more extensive studies are necessary to determine effective treatment options for both acute and chronic cases.
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Epidemiology of adult acute hand infections at an urban medical center.

J Hand Surg Am

June 2013

Department of Orthopaedics, University of Pittsburgh, Pittsburgh, PA; and the Rothman Institute; Philadelphia, PA 15213, USA.

Article Synopsis
  • This study examines the prevalence and characteristics of adult acute hand infections in an urban hospital, emphasizing the need for improved treatment guidelines due to the risks of complications like stiffness and amputation.
  • Over a six-year period, the research analyzed data from 2,287 patients with hand infections, revealing that 30% had culture-positive infections, mainly caused by methicillin-resistant Staphylococcus aureus (MRSA).
  • Findings suggest that empirical treatment should regularly account for MRSA and highlight that certain factors, such as intravenous drug use and diabetes, are linked to a higher occurrence of polymicrobial infections.
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Article Synopsis
  • * The infection was identified as caused by Streptococcus agalactiae, leading to various treatments including controlled blood sugar, hydrogen peroxide, silver sulfadiazine, surgical debridement, and skin grafting.
  • * The wound healed within 32 days post-surgery, highlighting the importance of early diagnosis and prompt treatment to prevent complications like amputation or death.
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Digital gangrene in a patient with primary Raynaud's phenomenon.

J R Coll Physicians Edinb

March 2012

Department of Rheumatology, MES Medical College, Perinthalmanna, Kerala, India.

Article Synopsis
  • Digital gangrene is uncommon in primary Raynaud's phenomenon, so its occurrence prompts healthcare providers to investigate other causes.
  • A case study involves a 19-year-old female who developed digital gangrene after surgery for acute paronychia, a finger infection.
  • The suspected cause was the enhanced vasoconstriction from the local injection of epinephrine with lignocaine before her surgical procedure.
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[Treatment of paronychia].

Oper Orthop Traumatol

July 2011

Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48129, Münster, Deutschland.

Article Synopsis
  • The procedure for treating nail fold infections involves carefully removing the localized infection based on its stage.* -
  • It is indicated for all types of infections in the periungual area but should not be performed for herpes or other purulent infections.* -
  • Post-surgery, moist dressings and finger baths are recommended, and typically the infection heals well with minimal scarring.*
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Article Synopsis
  • The management of paronychia focuses on preventing damage to the protective nail fold.* -
  • Surgical treatments seek to alleviate the condition by allowing proper drainage from the inflamed area.* -
  • The text introduces a Swiss roll technique designed for treating chronic and severe cases of paronychia.*
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[Infection on the hand: diagnosis and therapy].

MMW Fortschr Med

October 2008

Zentrum Handchirurgie, Mikrochirurgie und Plastische Chirurgie, Orthopädische Klinik München-Harlaching, Schön Kliniken.

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Occupational hand infections.

Clin Occup Environ Med

June 2006

Department of Surgery, University of Louisville School of Medicine, 529 South Jackson Street, Louisville, KY 40202, USA.

Article Synopsis
  • Prompt diagnosis and treatment of hand and upper extremity infections are crucial, as they can be life-threatening and may lead to functional impairments.
  • Serious infections can lead to extended hospital stays, causing a loss in productivity.
  • Effective treatment typically involves antibiotics, heat, elevation, surgical drainage, and débridement, with specialty consultation necessary for uncertain diagnoses or lack of improvement.
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Article Synopsis
  • The text discusses various bacterial skin infections, particularly focusing on impetigo, which can manifest as either nonbullous or bullous forms, with distinct lesions and treatment requirements.
  • Nonbullous impetigo is common in children, starting in damaged skin and leading to a crusty appearance, while bullous impetigo occurs mostly in infants and involves larger blisters without prior skin damage.
  • Effective treatment for both types includes cleaning the affected areas, applying topical antibiotics, and, in severe cases, using systemic antibiotics to address deeper infections like ecthyma.
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DAREJD simple technique of draining acute paronychia.

Tech Hand Up Extrem Surg

June 2005

State Specialist Hospital Ado-Ekiti, Formerly Department of Orthopaedics and Traumatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

Article Synopsis
  • A prospective study was conducted to improve the diagnosis and treatment of paronychia, a finger infection that can cause severe deformities if treated late.
  • The researchers utilized simple materials to drain pus from abscesses in acute paronychia by lifting the nail fold with a needle, successfully treating ten cases in eight patients without the need for anesthesia or daily dressings.
  • The combination of early drainage and antibiotics resulted in rapid pain relief and restored finger functionality within two days, highlighting the effectiveness of this simple technique in preventing complications.
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Common acute hand infections.

Am Fam Physician

December 2003

Department of Family Practice, Naval Hospital Jacksonville, Jacksonville, Florida 32214, USA.

Article Synopsis
  • - Hand infections can lead to serious issues if not properly diagnosed and treated; factors like the patient's health, infection location, and circumstances help guide treatment choices.
  • - Common initial treatments include splinting, elevating the hand, providing antibiotics, and for abscesses, doing incision and drainage; tetanus shots are advised for at-risk infections.
  • - Specific infections like paronychia and felons require tailored treatments, ranging from soaking and antibiotics to more invasive procedures; severe cases such as pyogenic flexor tenosynovitis might need surgery to ensure proper recovery.
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Article Synopsis
  • * Acute infections occur when there's a disruption between the nail fold and nail plate, allowing bacteria to enter; treatments include warm soaks, antibiotics, and possibly surgery.
  • * Chronic paronychia requires avoidance of irritants, and treatment may involve antifungal agents, steroids, or surgery; persistent cases may need further investigation for underlying issues like cancer.
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Infections of the fingertip. Paronychias and felons.

Hand Clin

November 1998

Hand Surgery Service, University of Michigan, Ann Arbor, USA.

Article Synopsis
  • Paronychias and felons are common hand infections that require accurate diagnosis and timely treatment.
  • Successful treatment includes proper incision, wound drainage, local care, antibiotics, and early rehabilitation.
  • Complicated infections may occur in immunosuppressed individuals or those who haven't received adequate care, requiring a tailored treatment approach.
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[Herpes simplex virus infection of the hand].

Dtsch Med Wochenschr

September 1996

Klinik und Poliklinik für Unfall- und Handchirurgie, Universität Münste.

Article Synopsis
  • * The infant's history included an episode of gingivo-stomatitis six months prior, but currently, there were no significant health issues other than the localized infection.
  • * Treatment was conservative with dry dressings, leading to complete healing in three weeks without scarring; it highlights the importance of accurate diagnosis to avoid mismanagement of herpes simplex infections in the hand.
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