Hand Infection Treatment Big Rapids MI

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Jerome Arthur Conrad
(231) 796-6721
650 Linden St
Big Rapids, MI
Specialty
Orthopedic Surgery

Data Provided By:
Jerome Arthur Conrad, MD
(231) 796-6721
650 Linden St Ste 2
Big Rapids, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1964
Hospital
Hospital: Mecosta County Gen Hospital, Big Rapids, Mi
Group Practice: Big Rapids Orthopaedics

Data Provided By:
Sudhir Balkrishna Rao
(231) 796-6721
650 Linden St
Big Rapids, MI
Specialty
Orthopedic Surgery

Data Provided By:
Thomas G Ryan, MD
(269) 343-1535
2490 S 11th St
Kalamazoo, MI
Business
Kalamazoo Orthopaedic Clinic
Specialties
Orthopedics

Data Provided By:
Paul Scott Kenyon, MD
(517) 787-6924
PO Box 600
Jackson, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1984
Hospital
Hospital: W A Foote Memorial Hospital, Jackson, Mi
Group Practice: Jackson Orthopaedic & Sports

Data Provided By:
Aleksandar Tosic, MD
650 Linden St Ste 2
Big Rapids, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Edvarda Kardelja V Ljubljani, Med Fak, Ljubljana, Slovenia
Graduation Year: 1985

Data Provided By:
Aleksandar Tosic
(231) 796-6721
650 Linden St
Big Rapids, MI
Specialty
Orthopedic Surgery

Data Provided By:
Paul E Roose
(231) 832-7000
225 N State St
Reed City, MI
Specialty
Orthopedic Surgery

Data Provided By:
Ben R Mayne III, MD
(989) 839-8865
555 W Wackerly St Ste 2600
Midland, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1986
Hospital
Hospital: Midmichigan Med Ctr -Midland, Midland, Mi
Group Practice: Orthopaedic Institute-Mid MI

Data Provided By:
Luis A Gonzalez Alonso, MD
(989) 635-7007
2750 Main St Ste 6
Marlette, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Santo Domingo (Uasd), Fac De Cien Med, Santo Domingo
Graduation Year: 1979
Hospital
Hospital: Marlette Community Hospital, Marlette, Mi; Hills And Dales Gen Hospital, Cass City, Mi

Data Provided By:
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Diagnosis and Treatment of Hand Infections

In this article, hand surgeons from the Walter Reed National Military Medical Center in Washington, D.C. offer us a review of rare, but potentially disabling hand infections. They focus on two infections of the wrist, hand, or fingers: osteomyelitis and septic arthritis. Causes, type of bacteria involved, patient symptoms, diagnosis, and treatment are summarized for each condition. Complications with and without treatment are also presented.

Osteomyelitis is an infection of the bone or bone marrow that can affect the hand. The most common infecting bacteria are staph, strep, and e coli. Undiagnosed, delayed diagnosis, or untreated, any of these infectious agents can cause destruction of the joint. Loss of motion, impaired function, and eventual arthritis with pain, stiffness, and disability can occur. The disease process can get so bad, a person can lose the affected hand.

How does a person get osteomyelitis of the hand or wrist? There are three main mechanisms: 1) puncture wounds (e.g., human bites, thorns, fractures, and surgery), 2) spread from infection of nearby soft tissues, and 3) spread through the blood system from any other infection in the body.

The immune system sets up an inflammatory response and tries to wall off the infection. In the healthy child or adult, this reaction may be enough to take care of the problem. But malnutrition, smoking, medications that suppress the immune system, and cancer or other health problems can put the patient at a disadvantage for self-healing.

In the case of one particular bacteria (methicillin resistant Staphylococcus aureus or MRSA, pronounced "mersa"), even healthy people can be affected. Tissue invasion and severe bone destruction can occur quickly. That's why early diagnosis and immediate treatment is recommended for hand infections of this type.

How does the hand surgeon know a patient has an osteomyelitis-linked hand infection? There are usually visual signs (swelling, redness, warmth) and pain. The patient may have a fever with chills and fatigue. These flu-like symptoms are a red flag of systemic (system-wide) infection. Blood tests and imaging studies possibly including X-rays, bone scans, PET scans, MRIs, and other more advanced imaging aid in making the diagnosis.

Once it's clear what the surgeon is dealing with, then treatment begins. Antibiotics may be all that's needed if the problem is identified and caught early. But most of the time, surgery is needed to debride (clean out) the area. This surgical procedure is followed by a course of antibiotics as well.

It may be necessary to perform more than one debridement, a process called serial debridement. Serial debridement is done until the affected area is clear of infection. The whole process can take six weeks or more. If the infection has occurred around an implant (e.g., joint replacement or hardware used to repair a fracture), the implant may have to be removed before debridement and antibiot...

Click here to read the rest of this article from eOrthopod.com