Felon

Title: Panaritium

Panaritium is an acute purulent inflammation of the tissues of the finger. On the palmar surface of the finger, the skin is connected to the palmar aponeurosis by dense tendon cords, between which there is an accumulation of adipose tissue. In case of inflammatory skin lesions or injuries, inflammation quickly spreads along the connective tissue cords to deep tissues: tendons, bone formations, joints.

In addition, the accumulation of exudate in closed cavities between connective tissue bridges leads to impaired circulation due to compression of supply vessels and the rapid development of tissue necrosis. Panaritium most often occurs as a result of minor injuries to the palmar surface of the fingers in everyday life, at work, less often it is the result of tearing off hangnails or microtraumas during manicure. Diabetes mellitus and chronic circulatory disorders predispose to the occurrence and protracted course of panaritium.

Panaritium can be superficial (cutaneous, periungual, subungual) and deep - subcutaneous, tendon, articular, bone.

With cutaneous panaritium, pus accumulates under the epidermis; a bubble filled with cloudy liquid forms; the skin around the bubble turns red. The pain is usually moderate. The bubble gradually enlarges, while purulent inflammation very rarely spreads to deeper tissues.

With periungual felon, a purulent bubble forms in the skin of the nail fold. If pus penetrates under the root of the nail, then it is a subungual panaritium, which is eliminated after the nail comes off.

Subcutaneous panaritium is characterized by constant shooting pains; When you touch your finger, there is a sharp pain. Increasing pain, especially at night, when trying to move a finger, indicates the transition of the panaritium to the tendons or joint.

Any form of panaritium can lead to serious consequences: pus can enter distant organs and tissues, causing their damage, as well as sepsis; bone panaritium can lead to disfigurement of the phalanx of the finger, tendon and articular felon - to immobility of the finger.

Therefore, it is very important to consult a doctor promptly. You cannot treat felon yourself, for example by piercing a purulent bladder. If signs of inflammation appear, you should consult a doctor who will prescribe the necessary treatment depending on the form and stage of the disease.

Panaritium or panaritium is a purulent inflammation of the periungual fold of the big toe.

Panaritium is a pathological process characterized by purulent inflammation of the tissue near the nail plate of the thumb or index finger. Most often it occurs when an infection occurs through microtraumas of the skin near the nail bed, cracks in the cuticle area. Inflammation can also be caused by purulent-necrotic tissue that has penetrated the skin from the hair follicle. The causative agents of the disease are heterogeneous and include both aerobic and anaerobic bacteria and fungi.

It must be remembered that felon ends in superficial infection of the vestibule, interdigital space, and lateral ridges of the finger on the side of the joint. Inflammation of the nail phalanx of the finger against the background of any viral infection can lead to felon. Panariy (panorama) is a military engineering and architectural construction term meaning a territory (mainly upper) limited by coastal cliffs (usually vertical) or embankments, which can be viewed from positions located below.

Felon is an inflammation of the fingers and toes, which, as a result of improper self-medication or neglect of its development, can lead to the most serious consequences. Any wound, cut or removed wart on a finger can lead to panaritium if not treated in a timely manner. The most common reason

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Panaritium is an acute purulent inflammation of the periungual fold of a finger or nail plate - onychophoria, which often results in the development of subungual felon - paronychia, in which the nail bed is also affected.

The cause of panaritium is the penetration of pyogenic microorganisms (staphylococci, streptococci, etc.) into the tissue of the finger. Panaritium can occur as a consequence of an advanced local source of infection (for example, carbuncle, phlegmon of the soft tissues of the hand, etc.), as well as as a complication of injury, the introduction of a foreign body under the nail plate if the rules of asepsis are not observed. The pathological process usually occurs in the area of ​​the proximal interphalangeal joint. In most cases, felons develop in people from professional groups leading a “dirty” lifestyle (plasterers, roofers, painters, etc.).

Symptoms of felon: usually, immediately after infection, a small infiltrate appears at the base of the nail, the edge of this infiltrate is pointed upward and, giving no rest, itches. General malaise occurs, body temperature rises, and slight redness of the skin around the infiltrate is noted.

The main type of treatment for felon is surgical. The operation is always performed in a dressing room in a treatment room, and preferably under local anesthesia. Before anesthesia is given, the area where the inflammation is located is injected with a local anesthetic, after which a finger tamponade is done with iodine tincture and the operation itself is performed. The suture is applied very narrow, after the end of the operation a glove incision is applied. After suturing, anti-inflammatory, detoxification, and restorative therapy is carried out.