Title: Management of Felons<br/>Author: Michael Bond<br/><a href='http://umem.org/profiles/faculty/78/'>[Click to email author]</a><hr/><p>
<u><b>Management of Felons</b></u></p>
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An abscess of distal finger that involves the pulp. </li>
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A difficult infection to treat due to the fibrous septa that divide the pulp into multiple small compartments. </li>
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These septa run from the periosteum to the skin increasing the risk of osteomyelitis</li>
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Patients typically present with a lot of pain, redness, and swelling.</li>
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Typically triggered by a puncture wound (i.e.: splinter)</li>
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Incision and Drainage can result in a:
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anesthetic finger tip</li>
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unstable finger pad</li>
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neuroma</li>
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If you are going to drain one it is recommended that you do a volar longitudinal incision down the middle of the finger pad or a high lateral incision. </li>
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The high lateral incision should be at about 5 mm below the nail plate border. This distance is required to avoid the more volar neurovascular structures.</li>
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For good photos of the incision technique please visit the reference article listed.</p>
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<fieldset><legend>References</legend>
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<a href="http://www.aafp.org/afp/20031201/2167.pdf" target="_blank">Clark, DC. Common Acute Hand Infections. Am Fam Physician 2003;68:2167-76</a></p>
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