Septic arthritis of the hand arises from direct inoculation, local infection spread, or hematogenous routes, often due to Staphylococcus aureus. Diagnosis involves clinical signs, imaging, and lab tests, with treatment requiring surgical debridement and antibiotics.
Flexor Tenosynovitis is a surgical emergency needing admission, elevation, IV antibiotics, and usually surgical washout within 24 hours.
Camptodactyly is the progressive flexion deformity of the PIPJ. This article details the aetiology, features, classification, and management of this congenital hand condition.
Syndactyly is the fusion of soft tissue and bone of the finger. This article details the aetiology, diagnosis, and treatment of syndactyly.
A 40-year-old tree surgeon presents with left index finger swelling and pain following a recent injury, suggestive of flexor tenosynovitis. Diagnosis focuses on rapid identification and management of this potentially severe infection.
A 45-year-old male presents with severe pain, swelling, and blistering of the right leg after a minor injury, suggesting necrotising fasciitis. Immediate clinical focus is on identifying pathognomonic signs and initiating swift, effective treatment.
Necrotising fasciitis is a severe infection causing tissue death. Symptoms include severe pain and rapid tissue destruction, requiring immediate medical and surgical intervention to prevent high mortality.
Also: upcoming events, behind the 'fella podcast and nerve reconstruction.
Thumb hypoplasia is congenital undergrowth of the thumb. This article details its diagnosis, classification, and treatment.
Craniosynostosis is the premature fusion of one or more cranial sutures. It most commonly involves the sagittal suture. It can be isolated or part of a syndrome.
Microtia is a congenital hypoplastic malformation of the ear. This article details the assessment, classification, and surgical management of microtia.
Also: new question in the Sunday Quz, the Fellows' corner is coming, & 3 important article reads.
Pharyngeal arches (branchial arches) provide nerve, artery, bone and muscle to the craniofacial development. This article explores arches, pouches and grooves.
The breast is a composition of alveoli, lobules and lobes. It receives blood and sensory supply from a diverse number of arteries and nerves.
Infantile haemangiomas are benign proliferative tumours. This article details their aetiology, clinical features, investigations and management.
Basal cell carcinomas are the most common skin cancer. This article details their aetiology, diagnosis and treatment options.
The scaphoid bone, as the largest carpal bone in the proximal carpal row, is crucial in the wrist's mechanical integrity. This article explores scaphoid bone's anatomy, mechanics, and significance.
Melanoma is a malignant proliferation of melanocytes. This article details the features, diagnosis, role of sentinel node biopsy, and staging.
Ganglion cysts are common soft tissue tumors in the hand, often linked to joint capsules or tendons. Their diagnosis is primarily clinical. Treatment options are observation, aspiration, injection & surgical excision.
The lower eyelid is a bilamellar structure composed of skin, muscle, tarsus and conjunctiva. This article details the anatomy, blood supply, and lacrimal system.
Cubital Tunnel Syndrome is a compression neuropathy of the ulnar nerve at the level of the elbow. This article reviews the current literature in relation to anatomy, clinical diagnosis, and treatment options of Cubital Tunnel Syndrome.
"Intrinsic Plus" is a condition caused by tight interossei and lumbricals, leading to MCPJ hyperflexion and PIPJ hyperextension, managed through therapies or surgical procedures like intrinsic release to alleviate symptoms and restore hand function.
This article explores tuberous breast correction, detailing aesthetic improvement strategies and symmetry via specific surgical techniques, guided by Von Heimburg's classification for precise and optimal outcomes.
Mohs Micrographic Surgery (MMS)is a technique pioneered by Dr. Frederic Mohs in the 1930s. This article explores the indications, techniques & advantages.
