From the Research
Web space finger injuries can lead to several serious complications, including infections, scarring, nerve damage, and limited hand function, emphasizing the need for prompt and proper treatment to prevent long-term morbidity and mortality. The most common complication of web space finger injuries is infection, which can manifest as a web space abscess, causing significant pain, swelling, and limited hand function 1. These infections may spread to adjacent structures, potentially leading to tenosynovitis, deep space infections, or even osteomyelitis in severe cases. Some key points to consider in the management of web space finger injuries include:
- Prompt antibiotic therapy with medications like amoxicillin-clavulanate or clindamycin if MRSA is suspected
- Surgical drainage for abscesses
- Proper wound care, elevation of the affected hand, and early mobilization after the acute phase to prevent stiffness and preserve function
- Monitoring for signs of worsening infection, such as increasing pain, redness, swelling, fever, or purulent drainage, which may require more aggressive intervention. Other complications of web space finger injuries include scarring that may lead to web space contractures, limiting finger abduction and hand function, and nerve damage resulting in sensory deficits or pain 2, 3. Given the potential for serious complications, it is essential to prioritize prompt and proper treatment of web space finger injuries to prevent long-term morbidity and mortality, and to improve quality of life for affected individuals.