Hand Infection Treatment Burley ID

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Gilbert Keith Crane, MD
(208) 677-9167
1263 Bennett Ave
Burley, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1990
Hospital
Hospital: Cassia Mem Med Ctr, Burley, Id; Minidoka Mem Hosp, Rupert, Id

Data Provided By:
Gilbert K Crane, MD
(208) 677-9167
1263 Bennett Ave
Burley, ID
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Dennis James Michaelson, DDS
(208) 678-3265
2271 Overland Ave Ste 4
Burley, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kyle L Palmer
(208) 884-8300
3875 East Overland Road
Meridian, ID
Specialty
Orthopedic Surgery

Data Provided By:
John L Andary
(208) 524-5633
2035 E 17th St
Idaho Falls, ID
Specialty
Orthopedic Surgery

Data Provided By:
Gilbert K Crane
(208) 678-9760
1263 Bennett Ave
Burley, ID
Specialty
Orthopedic Surgery

Data Provided By:
Joseph Raymond Petersen, MD
(208) 678-1138
1344 Hiland Ave
Burley, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1982

Data Provided By:
Orthopedic Surgery Sports Mdcn
(208) 678-9760
1263 Bennett Ave Ste 1
Burley, ID

Data Provided By:
Adam James Olscamp, MD
(208) 664-2175
850 W Ironwood Dr Ste 202
Coeur D Alene, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1991

Data Provided By:
Larry D Showalter Jr, MD
(208) 383-0201
600 Robbins Rd Ste 401
Boise, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1988

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...

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