Hand Infection Treatment Fremont NE

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Christopher Langdon Ihle
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Kenneth R Pitz
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery

Data Provided By:
Mark G Mendlik, DDS
(402) 721-5714
1420 E Military Ave
Fremont, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Garrett Leonard Mendlik, DDS
(402) 721-8079
2129 Phelps Ave
Fremont, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Brett W Fischer
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Christopher Langdon Ihle, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1980

Data Provided By:
David Craig Buck
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Robert Pitz, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Languages
English
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1982
Hospital
Hospital: Fremont Area Med Ctr, Fremont, Ne; Nebraska Methodist Hospital, Omaha, Ne; Alegent Health Immanuel Med Ct, Omaha, Ne; Alegent Health -Memorial Hosp, Schuyler, Ne; St Francis Memorial Hospital, West Point, Ne
Group Practice: Heartland Orthopae

Data Provided By:
Richard F Bergstrom, MD
(402) 721-0090
2740 N Clarkson St Ste 100
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1967

Data Provided By:
Brett William Fischer, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1993

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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