{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:10:55Z","timestamp":1760080255924},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Septic arthritis of the small joints of the hand usually occurs secondary to bacterial inoculation through penetrating injury to the joint, or direct spread of infection from paronychia, felon, or pyogenic flexor tenosynovitis. Surgical treatment involves drainage and irrigation and may involve debridement if there is an open wound. We describe a method of continuous irrigation of septic joints of the hand postoperatively in the ward setting using an intravenous cannula placed within the joint and connected to an intravenous giving set with delivery of physiological fluid using a pump driver. Modifications of the technique are described for distal interphalangeal, proximal interphalangeal, and metacarpophalangeal joints and illustrated in each joint by 3 case studies. In addition to the irrigation, intravenous antibiotics were administered. All patients healed well with a full return of joint motion, no radiologic change, and a mean QuickDASH score of 4.8 at a mean follow-up duration of 3.6 months. This is a safe and simple technique that can be performed in patients with suspected or confirmed septic arthritis and carries minimal morbidity.<\/jats:p>","DOI":"10.1097\/bth.0000000000000241","type":"journal-article","created":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T14:34:32Z","timestamp":1554993272000},"page":"133-137","source":"Crossref","is-referenced-by-count":5,"title":["Techniques for Continuous Irrigation of Septic Joints of the Hand"],"prefix":"10.1097","volume":"23","author":[{"given":"Sze-Ryn","family":"Chung","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong Chiang","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duncan Angus","family":"McGrouther","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230901","doi-asserted-by":"crossref","first-page":"1968","DOI":"10.1148\/rg.347130101","article-title":"Hand infections: anatomy, types and spread of infection, imaging findings, and treatment options","volume":"34","author":"Patel","year":"2014","journal-title":"Radiographics"},{"key":"R2-20230901","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1136\/ard.45.6.458","article-title":"Bacterial arthritis in an English health district: a 10-year review","volume":"45","author":"Cooper","year":"1986","journal-title":"Ann Rheum Dis"},{"key":"R3-20230901","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/J.JHSB.2006.08.011","article-title":"Septic arthritis of the small joints of the hand","volume":"31","author":"Sinha","year":"2006","journal-title":"J Hand Surg Br"},{"key":"R4-20230901","first-page":"504","article-title":"Tendon sheath infection","volume":"37","author":"Wright","year":"1943","journal-title":"Proc R Soc Med"},{"key":"R5-20230901","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/0072-968X(76)90066-8","article-title":"Digital flexor tendon irrigation","volume":"8","author":"Besser","year":"1976","journal-title":"Hand"},{"key":"R6-20230901","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1097\/00000658-196604000-00021","article-title":"Treatment of digital tenosynovitis by irrigation with peroxide and oxytetracycline: review of nine cases","volume":"163","author":"Carter","year":"1966","journal-title":"Ann Surg"},{"key":"R7-20230901","doi-asserted-by":"crossref","first-page":"1628","DOI":"10.1016\/j.jhsa.2014.03.031","article-title":"Acute hand infections","volume":"39","author":"Osterman","year":"2014","journal-title":"J Hand Surg Am"},{"key":"R8-20230901","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1007\/s11552-013-9591-9","article-title":"Modifications to simplify intrathecal irrigation for pyogenic flexor tenosynovitis","volume":"9","author":"Chung","year":"2014","journal-title":"Hand (NY)"},{"key":"R9-20230901","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1016\/S0363-5023(84)80074-X","article-title":"A functional treatment method for interphalangeal pyogenic arthritis","volume":"9","author":"Wittels","year":"1984","journal-title":"J Hand Surg Am"},{"key":"R10-20230901","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1177\/1753193415570248","article-title":"A systematic review of the management of acute pyogenic flexor tenosynovitis","volume":"40","author":"Giladi","year":"2015","journal-title":"J Hand Surg Eur Vol"},{"key":"R11-20230901","doi-asserted-by":"crossref","first-page":"57","DOI":"10.5704\/MOJ.1507.003","article-title":"Bedside continuous irrigation and drainage as an interim local treatment for septic arthritis of the knee in the medically unstable patient: a case report","volume":"9","author":"Khoo","year":"2015","journal-title":"Malays Orthop L"},{"key":"R12-20230901","first-page":"2104","article-title":"Tidal irrigation in septic arthritis of the knee: a potential alternative to surgical drainage","volume":"20","author":"Ike","year":"1993","journal-title":"J Rheumatol"},{"key":"R13-20230901","first-page":"44","article-title":"Ultrastructure of articular cartilage in pyogenic arthritis","volume":"99","author":"Roy","year":"1975","journal-title":"Arch Pathol"},{"key":"R14-20230901","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1002\/jor.1100140213","article-title":"Removal of surface bacteria by irrigation","volume":"14","author":"Anglen","year":"1996","journal-title":"J Orthop Res"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000241","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T01:31:35Z","timestamp":1693531895000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000241"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000241","relation":{},"ISSN":["1089-3393"],"issn-type":[{"value":"1089-3393","type":"print"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}