infection inside the tip of the finger can form an enclosed pocket of pus (or abscess) that is very painful as it expands Treatment. There are multiple techniques to incise and drain a felon. Just one cut on the side of the finger! End of Procedure The wound may be held open with a small rubber drain or packed loosely with gauze, and a loose bandage is applied. The proper treatment for a felon is incision and drainage. A quick review of a digital block of the thumb and incision and drainage of a felon — an infection of the pulp of the finger. Typically, your doctor will make the whole finger numb by injecting an anesthetic once into each side of your finger, just beyond the knuckle of the hand. Intense throbbing pain, warmth, and swelling develop with the formation of an abscess as the infection progresses. If the infection is deeper or there is a lot of pus, the doctor may open the area to drain the pus. 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Overview The purpose of this procedure is to drain the pus and relieve the pressure and pain that results from an abscess in the pad of the fingertip, called a felon. The infected chambers are opened, the pus is drained, dead skin or tissue is removed, and the wound is … Some advocate for a trial of antibiotics before incision and drainage for an early felon, as per this very brief evidence-based review. Felon incision and drainage is required for infection and abscess located in the pads of the fingertips. The drainage from the area is usually a cloudy white-yellow color. You also have the option to opt-out of these cookies. Staphylococcal and streptococcal organisms are often the source of the infection. The incision is commonly made either on the underside of the finger over the point of maximum swelling or on the side of the finger. We'll assume you're ok with this, but you can opt-out if you wish. We use a unilateral longitudinal approach for our incision. Felon Incision and Drainage. Felons initially present with a gradual onset of pain and erythema of the distal volar finger. There are multiple techniques to incise and drain a felon. We also use third-party cookies that help us analyze and understand how you use this website. felon is a subcutaneous abscess of the fingertip pulp treatment is usually I&D and IV antibiotics; Epidemiology incidence accounts for 15-20% of hand infections; location most commonly occurs in the thumb or index finger; Pathophysiology mechanism of injury . In severe cases, general anesthesia may be used so that the patient is asleep during the procedure. Sign in or subscribe to watch the video. Although commonly performed on an outpatient basis, severe infections may require hospitalization and antibiotics. Central Coast Orthopedic offices are open with enhanced sanitation guidelines during the Coronavirus (COVID-19) situation. You also may soak your finger in warm water. These cookies will be stored in your browser only with your consent. Felons initially present with a gradual onset of pain and erythema of the distal volar finger. Local anesthesia may be administered based on physician preference depending on the degree of swelling. Felons are usually treated with minor surgery to allow drainage. Summary; Conversation (11) Downloads; A quick review of a digital block of the thumb and incision and drainage of a felon — an infection of the pulp of the finger. Just one cut on the side of the finger! A felon is an infection of the pulp space of a distal finger/thumb that usually occurs secondary to minor trauma. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website.

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