Early Tendon Transfer in Diabetic Hand Infection

Hand infections in diabetic patients are a serious concern, as they can lead to significant functional impairment and, if not promptly treated, may result in extensive tissue destruction or even sepsis. Unlike diabetic foot infections, hand infections are less understood and often present unique challenges in management. Diabetic patients are at an increased risk due to factors such as neuropathy, impaired immune function, and poor wound healing. These infections, if neglected, can result in permanent disability. This report presents a rare case of a diabetic hand infection that was complicated by compartment syndrome, a condition that further exacerbates the risk of tissue damage. Due to the nature of the infection and the rapid progression of compartment syndrome, immediate surgical intervention was necessary. Early tendon transfer, a technique not commonly used in such infections, was employed to restore function and prevent further damage. The case highlights the importance of early recognition and aggressive management of diabetic hand infections. Prompt surgical intervention, including tendon transfer, can play a critical role in preventing long-term disability. This case contributes to the limited body of literature on diabetic hand infections, emphasizing the need for tailored treatment approaches to address the specific complications that arise in such cases.

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Publication Details

Journal
Cureus
Published
2025-04-29
DOI
https://doi.org/10.7759/cureus.83189
Primary Topic
Diabetic Foot Ulcer Assessment and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Early Tendon Transfer in Diabetic Hand Infection

S Ilavarasan, T Raghupathy, R Manimaran, Koppolu Kanchana
Cureus
Diabetic Foot Ulcer Assessment and Management
article

Early Tendon Transfer in Diabetic Hand Infection

S Ilavarasan, T Raghupathy, R Manimaran, Koppolu Kanchana
article en

Abstract

Hand infections in diabetic patients are a serious concern, as they can lead to significant functional impairment and, if not promptly treated, may result in extensive tissue destruction or even sepsis. Unlike diabetic foot infections, hand infections are less understood and often present unique challenges in management. Diabetic patients are at an increased risk due to factors such as neuropathy, impaired immune function, and poor wound healing. These infections, if neglected, can result in permanent disability. This report presents a rare case of a diabetic hand infection that was complicated by compartment syndrome, a condition that further exacerbates the risk of tissue damage. Due to the nature of the infection and the rapid progression of compartment syndrome, immediate surgical intervention was necessary. Early tendon transfer, a technique not commonly used in such infections, was employed to restore function and prevent further damage. The case highlights the importance of early recognition and aggressive management of diabetic hand infections. Prompt surgical intervention, including tendon transfer, can play a critical role in preventing long-term disability. This case contributes to the limited body of literature on diabetic hand infections, emphasizing the need for tailored treatment approaches to address the specific complications that arise in such cases.

CureusVol. 17(4)
Sree Balaji Dental College and Hospital (IN), Bharath University (IN)
Good health and well-being
Openalex Percentile: Top 88%
Diabetic Foot Ulcer Assessment and Management
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