Monday, October 29, 2012

Palmar Abscess

Abscess is an circumscribed purulent inflammation of tissues with formation of a cavity filled with white matter. In case of palmar abscess it is localized on hand.

Abscesses may be formed round tendons which run through inner surface of fingers. It is connected with pervasive damage of one of crinkles on palmar side of finger. Thus occurs reproduction of microorganisms and formation of white matter round tendons that quickly damages tissue. The mechanism of tendons sliding damages so that finger almost not move.

Symptoms include swelling and inflammation of the finger, pains in area of tendon sheath and acute pains when moving with finger. Lymphatic glands behind abscess get increased, body temperature rises, appear chills and headache. The abscess area is red, during palpation patient may feel inflations of nearest to abscess lymphatic glands. Bone inflammation deeper than abscess is followed with increased pain.

Palmar abscesses are quite common and usually are resulted from trauma. Abscess on soft tissue of finger tip almost always appears after a slight damage, for example, splinter hitting or needling.

Diagnostics
During examination are noticed forced semiflexed position of fingers, their turgidity, puffiness, restriction and painfullness of movements, hand swelling. In case of interdigital localization of the process fingers may be spread, half bent and edematic. In the process are involved lymphatic glands and appear symptoms of common body intoxication. General blood test shows changes specific for inflammation.

Treatment
Surgical treatment includes opening, processing and drainage of affected area. Also antibacterial treatment .It is necessary to use specific medications such as staphylococcic antitoxin and specific gamma globulin. At the stage of recovery are used physiotherapeutic

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