Hand Infection Treatment Rutland VT

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Melbourne Duncan Boynton, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1987
Hospital
Hospital: Rutland Reg Medctr, Rutland, Vt; Porter Hospital, Middlebury, Vt
Group Practice: Vermont Orthopaedic Clinic

Data Provided By:
Edgar Miller Holmes III, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1965

Data Provided By:
Dr.Melbourne Boynton
(802) 775-2937
3 Albert Cree Drive
Rutland, VT
Gender
M
Education
Medical School: Northwestern Univ Med Sch
Year of Graduation: 1987
Speciality
Orthopedic Surgeon
General Information
Hospital: Rutland Reg Medctr, Rutland, Vt
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 2, reviews.

Data Provided By:
Joseph Henry Vargas III, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1965

Data Provided By:
Jacques Archambault Jr, MD
(802) 893-4142
720 Brickyard Rd
Colchester, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ De Montreal, Fac De Med, Montreal, Que, Canada
Graduation Year: 1971

Data Provided By:
David Hastings Bahnson, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1973

Data Provided By:
Ann C Stein, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1982

Data Provided By:
Edger Miller Holmes
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialty
Orthopedic Surgery

Data Provided By:
Edgar Miller Holmes III, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1965

Data Provided By:
Eric Mullins
(802) 888-8405
555 Washington Highway
Morrisville, VT
Specialty
Orthopedic Surgery

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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