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Midpalmar space (infection)

Authoring team

Midpalmar space infections are rare and present with:

  • palmar swelling with late fluctuance
  • dorsal swelling due to lymphatic obstruction
  • tenderness and erythema over the site
  • pain on flexor tendon motion

Treatment entails:

  • incision along the distal palmar flexion crease
  • incision into space with culture of released pus
  • irrigation of cavity
  • insertion of drain
  • repeated irrigation if the abscess is extensive
  • delayed closure after 1-2 days

Systemic antibiotics are mandatory.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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