INFECTION HAND-PARONYCHIA

1.5.5 Thenar Space:
The infection is confined to the thenar part of the palm the
thumb is abducted.

Treatment:
Incision in the web between thumb and index finger carved
incision on the dorsal aspect or curved incision in thenar crease
on the palmer surface.
Insert an artery forceps open absces and connected cavities clean drain and dress.
Sling is required to reduce pain
Antibiotics and analgesics may also be required.

1.5.6. Paronychia:
This is an infection around the nail or under the nail. The
infection is superficial, the swelling, redness and a bead of pus
often can be seen.

If the infection shows pus a direct incision is required to drain
the pus on one or both sides of the nail.
Sometimes raising the cuticle from the nail will drain the pus.
If the infection does not settle, fungus infection should be suspected and scraping examined and anti-fungal local ointments applied.
Pulp space and apical infection are also treated by incision
dressage.
All require dressing slings and analgesics.

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