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Panaritium, paronychia

 

Panaritium, whitlow

Panaritium, whitlow — is an acute inflammation of the tissues of the finger. Whitlow usually develops in contact with agents of purulent infection in the tissue at the finger microtrauma (punctures, abrasions, cracks, etc.). On the palmar surface of finger skin is connected to the palmar aponeurosis tendon ridges forming at the same channels. Infection with panaritiums through these channels is rapidly spreading into the depths, and swelling with inflammation limited cavity (between the tendinous intersections) leads to increased pressure, compression of feeding vessels and the appearance of necrosis.

If you suspect an infectious process on the finger (felon), the expectation is unacceptable: we need early surgery with the mandatory removal of necrotic tissue.

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Panaritium, whitlow. Initial manifestations are characterized by hyperemia and edema of the tissues, sharp pain thumb. Deformed nail plate.

 

Paronychia

Paronychia — is an inflammation of okolonogtevogo roller. The causes of paronychia okolonogtevogo cushion on his finger: superficial injuries manicure, picking burrs. When a felon having redness, swelling and pain in the nail roll, from under which the pus can be released.

Treatment of paronychia in the initial stages of conservative: the bath with potassium permanganate, an antiseptic. If you see pus - need surgical treatment paronychia. Paronychia may be complicated subungual felon.

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Paronychia. Edematous, hyperemic perionychium on his finger. With inadequate treatment may develop panaritium.

 

Hyponychial whitlow

Hyponychial whitlow — it pyocele under the nail plate. Hyponychial whitlow occurs when suppuration subungual hematomas, foreign bodies, the transition from inflammation okolonogtevogo roller. Appear severe pain, "floating" the nail plate, sometimes from under the nail plate stands out pus.

Treatment of subungual panaritium operative - is necessary to remove the nail (partial or total).

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Cutaneous felon lateral margin of the nail bed. Visible swelling, redness and abstsedirovanie soft tissue finger.

 

Cutaneous whitlow

Cutaneous whitlow — it pyocele beneath the epidermis in the form of limited bladder. Often occurs when the skin felon microtrauma or foreign bodies skin. Beneath the epidermis in cutaneous panaritiums determined pyocele, pain blurred. Removal of the epidermis in cutaneous panaritiums leads to recovery.

After removal of the epidermis must carefully inspect the base ulcer on the bottom can be opened fistulous passage leading to deeper divisions finger (skin felon may be a manifestation panaritium "in the form of cuff links: the main focus - subcutaneous whitlow).

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Edematous, tense, sharply painful nail phalanx dermal panaritiums. Visible area of necrotic tissue finger.

 

Subcutaneous whitlow

Subcutaneous whitlow — a common form of suppuration fingers. Subcutaneous panaritiums a marked jerking pain, local tenderness outside the projection of the tendons. More frequently with subcutaneous panaritiums process is localized to the nail phalanx: "first sleepless night," an indication for surgery. Delaying operation after subcutaneous panaritiums threatens passage of inflammation on the bone or joint.

 

Tendinous whitlow

Tendinous whitlow — suppuration of this tendon sheath more often when distributing hypodermic panaritium depth. When tendon panaritiums observed severe pain, a sharp swelling of the affected finger, which together with the adjacent finger is in palmar flexion. Bellied palpation probe affected tendon projection defines the zone of maximum tenderness.

Delaying surgery for tendon panaritiums leads to necrosis of the tendon and loss of function of the finger. Especially dangerous tendon panaritiums I and V of the fingers - tendon sheath to be communicated, during inflammation there a U-shaped brush with cellulitis zatekom on the forearm. The prognosis of tendon panaritiums unfavorable.

 

Articular whitlow

Articular whitlow a festering bag of articular interphalangeal joint of the finger. Articular whitlow usually is a complication of subcutaneous panaritium (late or improperly performed surgery in subcutaneous panaritiums). Joint abruptly swollen, painful on palpation, sipping on an axis pin sharp pain.

Conservative treatment of articular panaritium finger can be carried out only in the earliest stages (arthrocentesis with lavage oral antibiotics). In the amplification of pain and late stages of articular panaritium - need surgical treatment. The prognosis of articular panaritiums unfavorable.

 

Bone felon

Bone felon often localized on the nail phalanx. When bone panaritiums kolboobraznoe marked swelling of the finger nail bone, tenderness to palpation, sometimes defined bony crepitus. Radiographically for bone panaritiums found sequestered bone. Treatment of bone panaritium operative.

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Bone and tendon felon, the focus of infection is localized in a deeply lying tissues of the finger.

 

Type of surgery / manipulation

Cost
Outpatient treatment of panaritium, paronychia 4 000 rub.
Ligation, removal of drains, removal of sutures 500 rub.

 

If you have any questions on the diagnosis and treatment panaritium, felon, you can specify them with our surgeon or trauma on the phone: (499) 130-08-09

 

 
 

 

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