Document Detail


PYOGENIC FLEXOR TENOSYNOVITIS: ONE YEAR'S EXPERIENCE AT A UK HAND UNIT AND A REVIEW OF THE CURRENT LITERATURE.
MedLine Citation:
PMID:  22745083     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We report outcomes and learning points from flexor sheath infection (FSI) cases presenting over one year to a United Kingdom (UK) hand unit. Between August 2009 and August 2010, 16 FSIs were confirmed from operation note findings. Patient age ranged from 12 to 82 years. All patients were posted a quickDASH questionnaire. In all cases, surgery was performed within 24 hours, via distal and palmar incisions, with 0.9% saline irrigation. Seven patients (44%) responded to questionnaires. Of these, most achieved a good functional outcome, with a mean quickDASH of 7.14. Four cases (25%) had no triggering event. Beta-haemolytic streptococcus was cultured in three cases (18%). Its presence was significantly associated with a requirement for multiple operations (p < 0.032), and with prolonged admission of up to nine days (p < 0.009). We suggest that close liaison with microbiology services and early identification of beta-haemolytic streptococcus may predict the need for multiple washouts in FSI.
Authors:
Dariush Nikkhah; Jeremy Rodrigues; Khabab Osman; Lodewikus Dejager
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand     Volume:  17     ISSN:  1793-6535     ISO Abbreviation:  -     Publication Date:    2012 2012
Date Detail:
Created Date:  2012-6-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602613     Medline TA:  Hand Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  199-203     Citation Subset:  -    
Affiliation:
Great Ormond Street Hospital, London, UK. dariushnikkhah@hotmail.com.
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