A laceration is a certain type of skin wound with jagged, irregular edges. Lacerations are common injuries that often occur from the skin hitting an object. Lacerations typically involve bleeding, redness, swelling, pain, tenderness and other symptoms. They may occur nearly anywhere on the body, but most commonly affect the scalp, face, legs, arms, hands and feet. The upper extremities are a frequent location for wounds caused by accidents or falls. Minor lacerations are often short and shallow, but may be bleeding and can always be at a risk for infection.
The main goal of laceration repair is to stop the bleeding and stabilize the patient if he or she is feeling faint. Laceration repair usually includes cleaning and preparing the wound, before closing it with stitches, staples, special surgical glue or adhesive strips. Follow up care may be required to remove the closure material and monitor the healing process. Most lacerations heal successfully with no complications.
If the laceration is located on the hand, your physician will check to determine whether a tendon was affected. A tendon laceration involves an injury to the flexor tendon, the long tissues that stretch the length of the fingers and connect the muscles to the bone, allowing the finger to move. Tendon lacerations are most often caused by a cut on the finger that damages the tendon, which is located just under the surface of the skin. Athletic injuries may also cause damage to the flexor tendon.
Patients with a torn tendon may experience:
- Pain when moving or bending the finger
- Inability to bend the finger
- An open cut on the finger
In order to diagnose a tendon laceration, your doctor may ask you to bend and straighten your fingers and then apply resistance to test your strength. X-ray images may be taken of the affected fingers to determine if there is any damage to the bone.
Treatment for a tendon laceration initially focuses on stopping the flow of blood and relieving swelling. This is done by applying ice, cleaning the wound and placing the hand in a splint. A minor surgical procedure is often needed to repair a torn tendon, which is performed as soon after the injury as possible.
Incision and Drainage of Abscess
An abscess is an infection of the soft tissue that results in a pooling of pus. Abscesses may develop as the result of an infection or after surgery, causing fever, weight loss and recurring infection in the body unless properly treated. When on or near the surface of the skin, abscesses are obvious to the eye, appearing red and swollen. Abscesses are often painful.
Abscesses on the skin may occur on any part of the body, in people of all ages. They typically result from a wound or injury to the skin, bacterial infection or inflammation of the hair follicles. The skin may form a lesion, become tender and warm at the site, tissue in the area may harden and some patients develop a fever in response.
In other cases, abscesses can form internally on a gland or an organ. There are many potential causes, depending upon the location of the abscess. However, symptoms will often include pain or tenderness in the region, fever and chills. A blood test may be performed to determine whether the patient’s white blood count is elevated, which would indicate that the body is fighting an infection. In addition, an X-ray, ultrasound or CT scan may be needed to obtain images of and diagnose the abscess.
Treatment of an abscess involves draining the contained fluid through needle aspiration in order to relieve symptoms and rid the body of the infection. This procedure may be performed under ultrasound or CT guidance to ensure precise and effective treatment of the abscess. During the procedure, a small needle is inserted directly into the abscess to aspirate and drain any fluid. Only a local anesthetic is needed to minimize any potential discomfort from the needle. The fluid that has been withdrawn may be analyzed to detect any bacterial infection or determine the cause of the abscess.
To learn more about our Services, call us at 718.204.7550 or click here to request an appointment.