Hand Infection Treatment West Columbia SC

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Earl B Mc Fadden, MD
(803) 794-0014
110 Medical Ln E Ste 225
West Columbia, SC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1982

Data Provided By:
Walter P Witherspoon, DDS
(803) 796-5300
205 Medical Cir
West Columbia, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Edward Davis, DMD
(803) 534-9555
2842 Sunset Blvd
West Columbia, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.James McIntosh
(803) 936-7230
146 N Hospital Dr # 104
West Columbia, SC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
Subhash Patel, MD
(803) 794-9191
110 Medical Ln E Ste 225
West Columbia, SC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Med Coll, Baroda Univ, Baroda, Gujarat, India
Graduation Year: 1970
Hospital
Hospital: Lexington Med Ctr, West Columbia, Sc; William J B Dorn V A Hospital, Columbia, Sc; Palmetto Richland Memorial Hos, Columbia, Sc; Providence Hospital, Columbia, Sc; Palmetto Baptist Med Ctr -Col, Columbia, Sc
Group Practice: Moore Orthopaedic

Data Provided By:
Kaushal Kp Sinha
(803) 791-8000
110 Medical Ln E Ste 120
West Columbia, SC
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Barnaby Dedmond
(803) 434-6879
146 N Hospital Dr # 140
West Columbia, SC
Gender
M
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med
Year of Graduation: 2000
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 4, reviews.

Data Provided By:
Kaushal Kishore P Sinha, MD
110 Medical Ln E
West Columbia, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Patna Med Coll, Patna Univ, Bihar, India
Graduation Year: 1966
Hospital
Hospital: Lexington Med Ctr, West Columbia, Sc; Providence Hospital, Columbia, Sc
Group Practice: Sinha Orthopedics

Data Provided By:
Ralph Seer Owings Jr, MD
(803) 227-8000
110 Medical Ln E
West Columbia, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1962
Hospital
Hospital: Lexington Med Ctr, West Columbia, Sc; Palmetto Richland Memorial Hos, Columbia, Sc; Providence Hospital, Columbia, Sc; Palmetto Baptist Med Ctr -Col, Columbia, Sc
Group Practice: Moore Orthopaedic Clinic

Data Provided By:
Wendel L Nixon, DDS
(803) 791-7818
143 Medical Cir
West Columbia, SC
Specialties
Orthodontics/Dentofacial Orthopedics

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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