Hand Infection Treatment Mitchell SD

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Felix Flores Ungacta, MD
625 N Foster St
Mitchell, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1994
Hospital
Hospital: Sioux Valley Hospital, Sioux Falls, Sd

Data Provided By:
Robert Ernest Mc Whirter, MD
(605) 996-7077
1222 E 7th Ave
Mitchell, SD
Specialties
Orthopedics, Emergency Medicine
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1972
Hospital
Hospital: Platte Comm Memorial Hospital, Platte, Sd; Queen Of Peace Hospital, Mitchell, Sd
Group Practice: Mitchell Orthopaedic Ctr

Data Provided By:
Timothy Jon Gill, MD
7220 S Highway 16
Rapid City, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1976

Data Provided By:
Walker Alan Wynkoop, MD
(605) 331-3178
1210 W 18th St
Sioux Falls, SD
Specialties
Orthopedics, General Practice
Gender
Male
Languages
Japanese
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1985

Data Provided By:
Jeffrey Allen Wehrkamp, DDS
(605) 582-6522
PO Box 497
Brandon, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Marcia Nelsen, MD
(605) 996-5903
2200 N Kimball St Ste 1050
Mitchell, SD
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1982
Hospital
Hospital: Sacred Heart Health Services, Yankton, Sd; Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Praireland Orthopaedics

Data Provided By:
Dr.Peter Looby
(605) 331-5890
810 E 23rd St # 5000
Sioux Falls, SD
Gender
M
Education
Medical School: Washington Univ Sch Of Med
Year of Graduation: 1990
Speciality
Orthopedic Surgeon
General Information
Hospital: Mc Kennan Hospital, Sioux Falls, Sd
Accepting New Patients: Yes
RateMD Rating
4.1, out of 5 based on 15, reviews.

Data Provided By:
Michael C Genoff, MD
(605) 217-2667
575 N Sioux Point Rd
North Sioux City, SD
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1985

Data Provided By:
Dr.Thomas Jacobson
(605) 217-2667
575 North Sioux Point Road
North Sioux City, SD
Gender
M
Education
Medical School: Univ Of Ia Coll Of Med
Year of Graduation: 1985
Speciality
Orthopedic Surgeon
General Information
Hospital: St Lukes Reg Medctr, Sioux City, Ia
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
H Ray Duncan, DDS
(605) 225-5761
2319 6th Ave SE
Aberdeen, SD
Specialties
Orthodontics/Dentofacial Orthopedics

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...

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