Hand Infection Treatment Sebring FL

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Ashok Sonni, MD
(239) 385-2222
6325 US Highway 27 N Ste 201
Sebring, FL
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Bangalore Med Coll, Bangalore Univ, Bangalore, Karnataka, India
Graduation Year: 1974
Hospital
Hospital: Florida Hosp Heartland Div, Sebring, Fl; Highlands Reg Med Ctr, Sebring, Fl
Group Practice: Florida Joint & Spine Inst

Data Provided By:
Alfred Robert Massam
(863) 385-3611
133 U.S. 27 North
Sebring, FL
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Diana Deane Carr, MD
(863) 382-7777
131 US Highway 27 N
Sebring, FL
Specialties
Orthopedics
Gender
Female
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1975

Data Provided By:
Vernon R Morris, MD
(863) 386-5555
3201 Medical Way
Sebring, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1974

Data Provided By:
Claude F Martin, MD
(256) 718-3200
2794 Palo Verde Dr
Avon Park, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1984

Data Provided By:
Stephen Frank Beissinger, MD
(863) 385-2222
6325 US Highway 27 N Ste 201
Sebring, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1975
Hospital
Hospital: Highlands Reg Med Ctr, Sebring, Fl; Winter Haven Hosp, Winter Haven, Fl; Florida Hosp -Lake Placid, Lake Placid, Fl
Group Practice: Florida Joint & Spine Inst

Data Provided By:
Jose R Thomas Richards, DO
3750 Emergency Ln
Sebring, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124
Graduation Year: 1970

Data Provided By:
James B Kendrick, DMD
(863) 385-0452
1747 Sw Lakeview Dr
Sebring, FL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Juan Carlos Alvarez, MD
(863) 314-4477
PO Box 8027
Sebring, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1996

Data Provided By:
Murphy F McGirt, MD
(305) 743-4811
PO Box 248 1064 E Cornell St
Avon Park, FL
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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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