Hand Infection Treatment Frederick MD

This page provides relevant content and local businesses that can help with your search for information on Hand Infection Treatment. You will find informative articles about Hand Infection Treatment, including "Diagnosis and Treatment of Hand Infections". Below you will also find local businesses that may provide the products or services you are looking for. Please scroll down to find the local resources in Frederick, MD that can help answer your questions about Hand Infection Treatment.

Thomas Francis Ryan, MD
(301) 652-6616
5473 Prince William Ct
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1969

Data Provided By:
Adam Mitchell Mecinski, MD
(301) 739-7790
915 Toll House Ave Ste 309
Frederick, MD
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1993

Data Provided By:
Stanley Yatming Chung, MD
(301) 663-0131
187 Thomas Johnson Dr Ste 1
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 1991

Data Provided By:
Robert T Fisher
(301) 663-9573
52 Thomas Johnson Dr
Frederick, MD
Specialty
Orthopedic Surgery

Data Provided By:
Shawn Kay Grandia
(301) 663-9573
52 Thomas Johnson Dr
Frederick, MD
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
C Jeffrey Bowman, DDS
(301) 662-3366
10 W College Ter
Frederick, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Frank Nisenfeld
(301) 694-8311
86 Thomas Johnson Court
Frederick, MD
Gender
M
Education
Medical School: Temple Univ Sch Of Med
Year of Graduation: 1970
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 6, reviews.

Data Provided By:
Alan Nagel
(301) 663-0131
187 Thomas Johnson Dr
Frederick, MD
Specialty
Orthopedic Surgery

Data Provided By:
Tse-Shiung Wu, MD
(301) 663-0131
187 Thomas Johnson Dr Ste 1
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Coll Of Med Natl Taiwan Univ, Taipei, Taiwan (244-02 Eff 1/1971)
Graduation Year: 1966

Data Provided By:
Frank Gerald Nisenfeld, MD
(301) 694-8311
184 Thomas Johnson Dr Ste 104
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1970

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...

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