Evidence map›Paper›PMID 32503146›Full record

ArticleMicroorganisms2020

Infections of Deep Hand and Wrist Compartments.

Konstantinos N Malizos, Zoe K Papadopoulou, Anna N Ziogkou, Nikolaos Rigopoulos, Efstratios D Athanaselis, Socrates E Varitimidis, Zoe C Dailiana

Abstract read
In one paragraph

Article in Microorganisms, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Konstantinos N MalizosHand and Microsurgery Unit, Department of Orthopaedics and Musculoskeletal Trauma Medical School, University of Thessaly, PC41110 Biopolis-Larissa, Greece.
Zoe K Papadopoulound Surgical Department, G. Papanikolaou General Hospital, PC57010 Thessaloniki, Greece.
Anna N ZiogkouHand and Microsurgery Unit, Department of Orthopaedics and Musculoskeletal Trauma Medical School, University of Thessaly, PC41110 Biopolis-Larissa, Greece.
Nikolaos RigopoulosHand and Microsurgery Unit, Department of Orthopaedics and Musculoskeletal Trauma Medical School, University of Thessaly, PC41110 Biopolis-Larissa, Greece.
Efstratios D AthanaselisHand and Microsurgery Unit, Department of Orthopaedics and Musculoskeletal Trauma Medical School, University of Thessaly, PC41110 Biopolis-Larissa, Greece.
Socrates E VaritimidisHand and Microsurgery Unit, Department of Orthopaedics and Musculoskeletal Trauma Medical School, University of Thessaly, PC41110 Biopolis-Larissa, Greece.
Zoe C DailianaHand and Microsurgery Unit, Department of Orthopaedics and Musculoskeletal Trauma Medical School, University of Thessaly, PC41110 Biopolis-Larissa, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The human hand is the most exposed part of the body to highest risk for injuries, loss of the skin integrity, and to the inoculation of bacteria, most commonly Staphylococcus aureus, Streptococcus β-haemolytic, and gram-negative. In case of an infection, the mobile anatomical structures and the synovial membranes in close proximity to each other may spread the pus towards deep spaces and compartments. Mild early infections without an abscess formation may respond to antibiotics, but at more advanced stage, erythema, swelling, stiffness, and severe pain may ensue. Abscess formation will cause debilitating pain, fever, systemic symptoms, and even sepsis. Necrotizing infections may threaten not only the limb, but also patient's life. Therefore, an initially "trivial" hand injury should never be neglected, as it might turn into a deep space infection, which must be treated immediately with drainage, wound debridement, and i.v. antibiotics. Delay in diagnosis and inadequate initial management might rapidly lead to abscess formation, destruction of the gliding surfaces and the normal anatomy, and irreparable functional deterioration.

Indexed as

hand and wrist compartmentshand infectionnecrotizing fasciitisParona’s spacepyogenic flexor tenosynovitisseptic arthritis

Identifiers

PMID32503146
PMCPMC7356554

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.