Osteomyelitis of the tubular bones of the hand

Reilly, Kevin E.; Linz, John C.; Stern, Peter J.; Giza, Eric; Wyrick, John D.

doi:10.1016/s0363-5023(97)80122-0

Cited by 70 publications

(80 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…25 In children, and rarely in adults, hematogenous spread is also possible. As with most infections, S aureus and Streptococcus remain the common offending organisms.…”

Section: Osteomyelitismentioning

confidence: 99%

“…25 Laboratory studies are rarely helpful in diagnosing osteomyelitis of the hand with regularly reported normal erythrocyte sedimentation rates and white blood cell counts. 25 Treatment of osteomyelitis can be attempted with parenteral antibiotics after obtaining a culture by periosteal or intramedullary aspiration. Optimally, once osteomyelitis has been diagnosed, most experts recommend surgical debridement and cortical windowing before starting antibiotic therapy.…”

Section: Osteomyelitismentioning

confidence: 99%

See 1 more Smart Citation

Hand Infections

McDonald

Bavaro

Hofmeister

et al. 2011

The Journal of Hand Surgery

124

View full text Add to dashboard Cite

Hand infections are commonly seen by orthopedic surgeons as well as emergency room and primary care physicians. Identifying the cause of the infection and initiating prompt and appropriate medical or surgical treatment can prevent substantial morbidity. The most common bacteria implicated in hand infections remain Staphylococcus aureus and Streptococcus species. Methicillin-resistant S aureus infections have become prevalent and represent a difficult problem best treated with empiric antibiotic therapy until the organism can be confirmed. Other organisms can be involved in specific situations that will be reviewed. Types of infections include cellulitis, superficial abscesses, deep abscesses, septic arthritis, and osteomyelitis. In recent years, treatment of these infections has become challenging owing to increased virulence of some organisms and drug resistance. Treatment involves a combination of proper antimicrobial therapy, immobilization, edema control, and adequate surgical therapy. Best practice management requires use of appropriate diagnostic tools, understanding by the surgeon of the unique and complex anatomy of the hand, and proper antibiotic selection in consultation with infectious disease specialists.

show abstract

“…25 In children, and rarely in adults, hematogenous spread is also possible. As with most infections, S aureus and Streptococcus remain the common offending organisms.…”

Section: Osteomyelitismentioning

confidence: 99%

Section: Osteomyelitismentioning

confidence: 99%

Hand Infections

McDonald

Bavaro

Hofmeister

et al. 2011

The Journal of Hand Surgery

124

View full text Add to dashboard Cite

show abstract

“…Plain x-rays may show osteolysis (Fig. 19.9 ), osteopenia, osteosclerosis, periosteal reaction, and sequestrum/involucrum [ 45 ], however nuclear medicine can identify changes before plain radiographs. Magnetic resonance imaging is the most sensitive and most specifi c imaging modality for the detection of infection in bone, and gives accurate information on the extent of the infectious process in bone and soft tissue [ 46 ].…”

Section: Clinical Pearlsmentioning

confidence: 99%

“…Terminalisation or amputation of the affected digit, may provide the best solution in order to avoid disability to the unaffected parts of the hand [ 2 ] with amputation rates of 39 % in one study [ 45 ].…”

Section: Clinical Pearlsmentioning

confidence: 99%

Hand Infections

Barabas¹,

Fleming²

2014

Disorders of the Hand

View full text Add to dashboard Cite

“…Hematogenous infection of the upper extremity is quite rare, although a few exceptions have been described in immunocompromised children [41]. Radiographic changes are usually absent, but the presence of dead bone should always be suspected.…”

Section: Importance Of Infectionmentioning

confidence: 99%

Alloimmune and Infectious Complications in Hand/Face Transplantation

2013

View full text Add to dashboard Cite

Vascularized composite allograft transplantation was definitively introduced in the armamentarium of reconstructive surgery in 1998. The development of potent immunosuppressive regimens permitted allograft survival, but rejection and infectious complications remain important issues. Our aim is to provide useful information on immunosuppression, rejection and infectious complications, their clinical management and their repercussion on the functional outcomes and allograft regeneration. Reports that gather current knowledge are included and commented. Current surgical strategies to control perioperative infections in hand and face transplantation are discussed. The implantation of reconstructive transplantation depends much on the control of rejection and infectious complications for the safety of the patients.

show abstract

Osteomyelitis of the tubular bones of the hand

Cited by 70 publications

References 21 publications

Hand Infections

Hand Infections

Hand Infections

Alloimmune and Infectious Complications in Hand/Face Transplantation

Contact Info

Product

Resources

About