Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Simulators of Hand Infections*† by STEVEN E. KANN, JOHN B. JACQUEMIN, and.

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Presentation transcript:

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Simulators of Hand Infections*† by STEVEN E. KANN, JOHN B. JACQUEMIN, and PETER J. STERN J Bone Joint Surg Am Volume 78(7): July 1, 1996 ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A and 2-B: Photographs of a hand that was bitten by a brown recluse spider. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2-B Ultimately, there was full-thickness skin necrosis that necessitated debridement and skin-grafting. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3 Photograph of a pyogenic granuloma. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Figs. 4-A, 4-B, and 4-C: Photographs of pyoderma gangrenosum of the hand in a patient who had ulcerative colitis. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-B Dorsal and palmar photographs, made at ten days, revealed progression to digital necrosis. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-C Dorsal and palmar photographs, made at ten days, revealed progression to digital necrosis. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Figs. 5-A and 5-B: Metastatic carcinoma of the distal phalanx in a patient who was seen with what was thought to be a chronic paronychia. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5-B: Radiograph showing osteolysis of the tuft. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Figs. 6-A, 6-B, and 6-C: A health-care professional who was referred for treatment of what she called spontaneously acquired non-healing wounds. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Figs. 6-A and 6-B: Dorsal and palmar photographs of the hand. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 6-C: A radiograph of the hand revealed a piece of glass (arrows). STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 7 Photograph showing a tophus of the metacarpophalangeal joint of the thumb, which had begun to drain. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 8 Radiograph of the hand of a patient who had chronic gout. STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 9 Representative radiograph of a wrist with advanced calcium pyrophosphate deposition disease (pseudogout). STEVEN E. KANN et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.