Hand Infection Treatment Lorain OH

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Charles P Canepa, DDS
(440) 233-8546
150 Cooper Foster Park Rd W
Lorain, OH
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Manhal Amjad Ghanma, MD
(440) 288-3554
3155 E Erie Ave
Lorain, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: American Univ Of Beirut, Fac Of Med, Beirut, Lebanon
Graduation Year: 1974

Data Provided By:
Alfred Serna, MD
(440) 985-3113
5800 Cooper Foster Park Rd W
Lorain, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1988

Data Provided By:
Frank Michael Sabo Jr, MD
(440) 282-2800
3600 Kolbe Rd Ste 100
Lorain, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1992

Data Provided By:
David Borden Shapiro, MD
(440) 204-7800
5800 Cooper Foster Park Rd W
Lorain, OH
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1986

Data Provided By:
Daniel John Single Jr, MD
(440) 985-3113
5800 Cooper Foster Park Rd W
Lorain, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1998

Data Provided By:
Donald Francis Blanford
(440) 960-3187
3700 Kolbe Rd
Lorain, OH
Specialty
Orthopedic Surgery

Data Provided By:
Robert S Biscup, DO
(216) 444-2200
5700 Cooper Foster Park R
Lorain, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ohio Univ, Coll Of Osteo Med, Athens Oh 45701
Graduation Year: 1980

Data Provided By:
Victor Anthony Nemeth, MD
(440) 282-2800
3600 Kolbe Rd Ste 100
Lorain, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1977

Data Provided By:
Frank Michael Sabo
(440) 233-8181
3600 Kolbe Rd
Lorain, OH
Specialty
Orthopedic Surgery

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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