Hand Infection Treatment Topeka KS

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Kevin Michael Cassidy, DDS
(785) 233-0582
2301 SW 6th Ave
Topeka, KS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Joseph Edward Mumford, MD
(785) 357-0301
909 SW Mulvane St
Topeka, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1986
Hospital
Hospital: St Francis Hosp & Med Ctr, Topeka, Ks; Stormont -Vail Healthcare, Topeka, Ks
Group Practice: Kansas Ortohpedic & Sports

Data Provided By:
Steven D Malmstrom, DDS
(785) 232-2821
1520 SW Topeka Blvd
Topeka, KS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Richard Edward Polly, MD
(785) 357-0301
909 SW Mulvane St
Topeka, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1968
Hospital
Hospital: St Francis Hosp & Med Ctr, Topeka, Ks; Stormont -Vail Healthcare, Topeka, Ks
Group Practice: KS Orthopedics & Sports Med

Data Provided By:
Brett E Wallace
(785) 357-0307
909 Sw Mulvane St
Topeka, KS
Specialty
Orthopedic Surgery

Data Provided By:
Michael Lee Smith, MD
(785) 357-0301
909 SW Mulvane St
Topeka, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1990

Data Provided By:
Sergio Delgado, MD
(785) 357-0352
631 SW Horne St Ste 410
Topeka, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1962

Data Provided By:
John Howard Gilbert Jr, MD
(785) 357-0301
909 SW Mulvane St
Topeka, KS
Specialties
Orthopedics, Occupational Medicine
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1970
Hospital
Hospital: St Francis Hosp & Med Ctr, Topeka, Ks; Stormont -Vail Healthcare, Topeka, Ks
Group Practice: Kansas Ortohpedic & Sports

Data Provided By:
David Edward Thurston, MD FACS
5120 SW Redbud Ln
Topeka, KS
Gender
Male
Education
Medical School: Kansas
Graduation Year: 1955

Data Provided By:
Dr.Michael Mccoy
(785) 233-0117
823 SW Mulvane St # 370
Topeka, KS
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.7, out of 5 based on 3, reviews.

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...

Click here to read the rest of this article from eOrthopod.com