Hand Infections
A 45-year-old diabetic man presents with 4 days of progressive pain and swelling in his right palm following a puncture wound to the palm from a rose thorn. Examination reveals diffuse swelling of the palm with loss of normal palmar concavity. The middle and ring fingers are held in slight flexion, and there is severe pain with passive extension of these fingers. The thenar eminence appears spared. There is no visible fluctuance but marked tenderness over the central palm. He is febrile (38.5Ā°C). Regarding deep space infections of the hand:
Mark each as TRUE or FALSE
The MIDPALMAR SPACE lies deep to the flexor tendons, superficial to the 3rd, 4th, and 5th metacarpal...
The THENAR SPACE lies radial to the midpalmar septum, overlying the adductor pollicis; boundaries: r...
Midpalmar space infections spare the central fingers; thenar space infections cause middle finger pa...
SURGICAL DRAINAGE is mandatory for deep space infections; MIDPALMAR space drained via LONGITUDINAL i...
COMPLICATIONS of deep space infections: spread to ADJACENT space (thenar ā midpalmar via lumbrical c...
Answer the questions to see explanations
Click T (True) or F (False) for each option