Hand Infection Treatment Sparks NV

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William Richard Ford Jr, MD
(775) 359-5757
2345 E Prater Way Ste 303
Sparks, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1966

Data Provided By:
David W Welmerink, DDS
(775) 358-6320
1155 Prater Way
Sparks, NV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Mario E Porras, MD
(775) 358-1050
2005 Silverada Blvd Ste 110
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1971

Data Provided By:
Stephen Douglas Dow, MD
(775) 329-8423
85 Kirman Ave Ste 303
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1960
Hospital
Hospital: St Marys Reg Medctr, Reno, Nv; Washoe Med Ctr, Reno, Nv
Group Practice: Orthopedic Surgical Assoc

Data Provided By:
Kent Leroy Phillips, DDS
(775) 332-1750
5220 Neil Rd Ste 110
Reno, NV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jeffrey Welling Mast, MD
(775) 359-5757
2345 E Prater Way Ste 303
Sparks, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1967

Data Provided By:
Kevin J Andrews, DDS
(775) 674-1444
2125 Green Vista Dr Ste 104
Sparks, NV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Thomas Michael Fyda, MD
(775) 786-1444
845 Aitken St
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1991

Data Provided By:
Jim Stephen Sobiek, MD
(775) 329-8423
85 Kirman Ave Ste 303
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1989

Data Provided By:
Jeffrey Daniel Webster
(775) 786-3380
75 Pringle Way Ste 912
Reno, NV
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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