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- W4379015679 abstract "Figure: incisional drainage, finger felons, flexor digitorum profundus, FDP, distal interphalangeal joint, DIPJ, phalanx bone, fibrous septa, abscess, fingers, ulnar handFigureIncisional drainage of finger felons is fraught with dangerous nearby structures. Understand the anatomy before performing the procedure. Avoid the flexor digitorum profundus (FDP) by cutting 0.5 cm distal to the distal interphalangeal joint (DIPJ). Avoid the digital nerve by cutting just below the level of the fingernail, avoiding the distal phalanx bone. Be sure to incise deeply enough to cut through the various fibrous septa. Bonus pearl: If you do not identify an obvious laterality for the abscess, incise on the ulnar aspect of the index, middle, and ring fingers but on the radial aspect of the thumb and little finger. In case of chronic pain or numbness, these are the non-weight-bearing sides of each finger. Imagine needing protective sensation to alert you that you gripped something hot between your thumb and index finger or that you unintentionally touched something hot along your radial or ulnar hand. Read more on this topic on Ortho Bullets at http://bit.ly/3mluu3A. DR. LIN is the founder, CEO, and editor-in-chief of Academic Life in Emergency Medicine (https://www.ALiEM.com) and a professor of emergency medicine at the University of California San Francisco with interests in health professions education and digital scholarship. Follow her on Instagram @MichelleLinMD and on Twitter @M_Lin. Share this article on Twitter and Facebook. Access the links in EMN by reading this on our website: www.EM-News.com. Comments? Write to us at [email protected]." @default.
- W4379015679 created "2023-06-02" @default.
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- W4379015679 date "2023-06-01" @default.
- W4379015679 modified "2023-10-16" @default.
- W4379015679 title "Avoid Being a Delinquent with Felons" @default.
- W4379015679 doi "https://doi.org/10.1097/01.eem.0000942508.04370.aa" @default.
- W4379015679 hasPublicationYear "2023" @default.
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