Hand Infection Treatment Eagle ID

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Allan R Wilson, MD
(208) 939-4363
562 W Willow Trace Dr
Eagle, ID
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Robert Noel Walker, MD
(208) 323-2600
Eagle, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduation Year: 1987

Data Provided By:
Dr.Paul Collins
(208) 287-1110
8756 West Emerald Street #136
Boise, ID
Gender
M
Education
Medical School: Northwestern Univ Med Sch
Year of Graduation: 1976
Speciality
Orthopedic Surgeon
General Information
Hospital: St Lukes Reg Medctr, Boise, Id
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Steven D Gilman, DDS
(208) 375-5011
7373 W Emerald St
Boise, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Thomas Michael Chopp
(208) 323-4747
8854 W Emerald St
Boise, ID
Specialty
Orthopedic Surgery

Data Provided By:
David Eric Hassinger, MD
(208) 855-2410
520 S Eagle Rd Ste 2108
Eagle, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1998

Data Provided By:
Dr.Michael Lahey
(208) 378-4288
323 E Riverside Dr # 234
Eagle, ID
Gender
M
Education
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med
Year of Graduation: 1980
Speciality
Orthopedic Surgeon
General Information
Hospital: St.Als
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 2, reviews.

Data Provided By:
Theodore A Fricke, DDS
(208) 375-0572
7800 Ustick Rd
Boise, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Glade Hansen, MD
(208) 459-4511
14292 W Pavilion St
Boise, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1970

Data Provided By:
Dr.Richard Moore
(208) 377-0777
6500 West Emerald Street
Boise, ID
Gender
M
Education
Medical School: Univ Of Wa Sch Of Med
Year of Graduation: 1984
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 2, reviews.

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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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