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Dr.P.Masthan
 Superficial paronychial infections
1. paronychia
 Infections of intermediate depth spaces
 Deep infections
1. Palmar space infections
2. Pyogenic flexor tenosynovitis
 Infections of intermediate depth spaces
1. Pulp space infection (FELON)
2. Web spaces infection
Felon
 Felon is an abscess of pulp of the finger
 It may involve the terminal , middle or
proximal volar pulp space
 Most commonly involves distal pulp space
 Second most common hand infection
 Most commonly involves - index and thumb
 Results from a minor trauma,ex :- finger
prick
Felon
 Pulp space contains fat - partitioned by
septae
 Septae are attacthed fron periosteum of
phalynx to skin
 Terminal pulp space is a closed compartment
Minor trauma
Infection to the pulp space
Collection of pus in space
Increase in pressure in that closed compartment
Compression of terminal artery
Gangrene of the pulp space osteomyelitis
 Causative organisms –
1. Staph. aureus (most common)
2. Streptococcus
3. Gram –ve organisms
 Clinical features :
1. severe pain
2. Redness
3. Swelling
4. Fever
5. Tender axillary lymph nodes
 Complications :
1. extend toward the phalanx – osteomyelitis
2. obliterate vessels --- skin slough or necrosis
3. suppurative flexor tenosynovitis or septic
arthritis of the DIPJ
4. extend to form deep palmar space infection
5. septicemia
 Investigations
1. Xray of the part to check for the presence of
osteomyelitis
2. Culture and sensitivity of pus
 Treatment :
1. Antibiotics and analgesics.
2. Definitive treatment :-Drainage of terminal
pulp space by an longitudinal deep incision.
3. If there is osteomyelitis of the terminal
phalanx, it has to be amputated
 Definitive treatment :-Drainage of terminal
pulp space by an longitudinal deep incision.

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Felon

  • 2.  Superficial paronychial infections 1. paronychia  Infections of intermediate depth spaces  Deep infections 1. Palmar space infections 2. Pyogenic flexor tenosynovitis
  • 3.  Infections of intermediate depth spaces 1. Pulp space infection (FELON) 2. Web spaces infection
  • 5.  Felon is an abscess of pulp of the finger  It may involve the terminal , middle or proximal volar pulp space  Most commonly involves distal pulp space
  • 6.  Second most common hand infection  Most commonly involves - index and thumb  Results from a minor trauma,ex :- finger prick
  • 8.  Pulp space contains fat - partitioned by septae  Septae are attacthed fron periosteum of phalynx to skin  Terminal pulp space is a closed compartment
  • 9. Minor trauma Infection to the pulp space Collection of pus in space Increase in pressure in that closed compartment Compression of terminal artery Gangrene of the pulp space osteomyelitis
  • 10.  Causative organisms – 1. Staph. aureus (most common) 2. Streptococcus 3. Gram –ve organisms
  • 11.  Clinical features : 1. severe pain 2. Redness 3. Swelling 4. Fever 5. Tender axillary lymph nodes
  • 12.  Complications : 1. extend toward the phalanx – osteomyelitis 2. obliterate vessels --- skin slough or necrosis 3. suppurative flexor tenosynovitis or septic arthritis of the DIPJ 4. extend to form deep palmar space infection 5. septicemia
  • 13.  Investigations 1. Xray of the part to check for the presence of osteomyelitis 2. Culture and sensitivity of pus
  • 14.  Treatment : 1. Antibiotics and analgesics. 2. Definitive treatment :-Drainage of terminal pulp space by an longitudinal deep incision. 3. If there is osteomyelitis of the terminal phalanx, it has to be amputated
  • 15.  Definitive treatment :-Drainage of terminal pulp space by an longitudinal deep incision.