Hand Infection Treatment Buckhannon WV

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John Patrick Galey, MD
(304) 473-6810
10 Amalia Dr
Buckhannon, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Toronto, Fac Of Med, Toronto, Ont, Canada
Graduation Year: 1981
Hospital
Hospital: St Josephs Hospital, Buckhannon, Wv; United Hospital Center, Clarksburg, Wv
Group Practice: St Josephs Physicians Group Db A Upshur Medical Management S

Data Provided By:
Joseph Akin Snead
(304) 269-4431
29 Hospital Plaza
Weston, WV
Specialty
Orthopedic Surgery

Data Provided By:
Joseph Akin Snead, MD
(304) 269-4431
29 Hospital Plz
Weston, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1966

Data Provided By:
Rajesh V Patel
(304) 253-1077
1007 S Oakwood Ave
Beckley, WV
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Steven C Miller, MD
(304) 599-0720
200 Orthopedic Way
Morgantown, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1976
Hospital
Hospital: Allegheny Gen Hosp, Pittsburgh, Pa; Wheeling Hospital, Wheeling, Wv
Group Practice: Wheeling Hospital Inc Orthopedics

Data Provided By:
Dr.Joseph Snead
(304) 269-4431
Ste B, 29 Hospital Plz
Weston, WV
Gender
M
Education
Medical School: Duke Univ Sch Of Med
Year of Graduation: 1966
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 1, reviews.

Data Provided By:
Douglas Scott Tice
(304) 269-4431
29 Hospital Plaza
Weston, WV
Specialty
Orthopedic Surgery

Data Provided By:
Earl James Foster, MD
(304) 525-6905
2828 1st Ave
Huntington, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1974

Data Provided By:
Tony Colerio Majestro, MD
(304) 343-4691
415 Morris St
Charleston, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1966
Hospital
Hospital: Charleston Area Med Ctr -Memo, Charleston, Wv
Group Practice: Majestro Molina & Ede

Data Provided By:
Dr.Walid Azzo
(304) 324-2725
512 Cherry St # 1
Bluefield, WV
Gender
M
Education
Medical School: Univ Of Miami Sch Of Med
Year of Graduation: 1987
Speciality
Orthopedic Surgeon
General Information
Hospital: Bluefield Regional Medical Center
Accepting New Patients: Yes
RateMD Rating
4.6, out of 5 based on 8, reviews.

Data Provided By:
Data Provided By:

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...

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