Causes and Symptoms Panaritium
What is Panaritium?
Panaritium is an acute purulent inflammation of the tissues of the fingers, and sometimes toes.
Doing any work, no one is immune from minor injuries. Every day we prepare food, sew or do other household or industrial matters, using piercing-cutting tools, etc. But a slight damage to the skin on the fingers can lead to the development of a panic: an acute purulent-inflammatory disease of the superficial or deep tissues of the finger on the hands / h
Symptoms of panaritium are pulsating, pulling pain in the place of localization of the focus, sometimes very strong, depriving sleep and rest. tumor and suppuration. The skin is glossy and tense, the tip of the finger takes a bulbous appearance. Very often, panaritium is accompanied by an increase in body temperature, chills, headache and a sense of “brokenness.” / H
Reasons for panarization
Very often the cause of the panic is minor damage such as needle pricks or small scratches, small burns, which are left without attention. Subcutaneous panaritium is a more common form of the disease of the fingers. Bony panaritium develops normally as soon as the suppuration passes to the periosteum and to the bone. The appearance of the panaritium is most often caused by microbes that penetrate into the soft tissues of the palmar surface of the finger : staphylococci, sometimes streptococci, and a mixed pathogenic microflora is possible. Microorganisms penetrate through small wounds, injections, abrasions, scratches, burrs, splints, which we very often do not pay attention to.
In children, panaritium occurs frequently, since children do not pay enough attention to personal hygiene, touch everything with their hands, damage the skin of hands, where germs penetrate. In addition, the child’s skin does not have such barrier properties as the skin of an adult. Fingers from the palm of the hand are connected to palmar aponeurosis with dense tendon cords. Strong elastic fibers go from the deep layers of the skin of the fingers, forming cells with longitudinal bundles of connective tissue resembling bees. These cells contain fatty lumps. Therefore, the inflammatory process can not spread along the plane, but rapidly spreads along the course of the connecting strands deep into the body, affecting the deep tissues, passing to the tendons, bones and joints. For the same reason, the inflammatory attack is under pressure, and this causes severe pain. In addition, accumulation of exudate in closed cavities between connective tissue bridges causes blood circulation disorders due to compression of feeding vessels and leads to the development of tissue necrosis.
If no timely measures are taken, suppuration extends deep into the tissues – to the tendons , bones, joint. this can lead to a palpable or total loss of the function of the finger.
In the neglected state, the inflammatory process extends to all the tissues of the finger, pandactylitis develops, and this is already a serious finger finger disease. There is a lesion of the skin, subcutaneous tissue, tendon structures, bone or joint. It happens that this disease ends with amputation.
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Types of panarization
Cutaneous – develops on the back of the finger. Under the epidermis pus accumulates, a bubble with turbid, sometimes bloody contents is formed. The skin around the bladder becomes bright red or acquires a reddish hue. Pain is not strong, sometimes a burning sensation. If the bladder becomes larger in size, this indicates that the disease is progressing and has moved to deeper tissues.
A peri-oedematous is an inflammation of the peri-osedal cushion. Very often paronychia occurs after an unsuccessful manicure. Inflammation develops at the edge of the nail plate, in the skin of the nail roller as a result of various skin lesions (small cracks, burrs, small cuts).
Podnogevoy – inflammation of tissues under the fingernail. It can develop when pus penetrates under the nail plate. Such panaritium can occur after a shot or a splinter under the nail.
Subcutaneous – develops on the finger from the palm under the skin. Since the skin on this side is dense, the pus that forms long, can not escape outward and the process goes deeper. Further subcutaneous panaritium can affect tendons, joints and bones. Sometimes it affects everything together.
Bone – affects the bones of the finger. It develops after infection in the bone tissue (for example, with infected open fractures) or when the purulent process spreads to the bone of adjacent soft tissues.
Articular – purulent arthritis of the interphalangeal joint. Developed after penetration of infection into the joint cavity (for example, when injured) or as a result of a long purulent process in the soft tissues of the finger above the joint. For joint arthrosis, spindle-shaped enlargement, restriction of movement in the joint, soreness when pressing and moving are inherent. More common is the lesion of the first phalanx.
Bony-articular – develops after the progression of the articular panaricium. With such a disease in the purulent process of articular ends of interphalangeal joints. The tendons around the joint are preserved.
Tendon is a heavier type of panaritium, which leads to a long disruption in the function of the brush. With it, the finger swells, it hurts, the movement is limited. When trying to unbend a finger, there is a lot of pain.