Melbourne Hand Surgery 

Please note: Due to high demand our next new patient appointment at Melbourne Hand Surgery is in 4 months. There are no further appointments available in 2018 unless existing booked patients cancel.So we can streamline your care and ensure that urgent and emergency conditions are seen in a timely manner we require that all patients provide a referral from their general practitioner prior to seeking an appointment date. Once we have received your referral we will contact you to schedule an appointment. Referrals can be submitted by secure messaging (Argus, HealthLink, MedicalObjects), email, mail or fax.  

Melbourne Hand Surgery closes for the holiday season at 5pm on Monday 17 December 2018; we will resume consulting and operating on Monday 14 January 2019.

Cellulitis

What is cellulitis?

Cellulitis is a bacterial infection of the skin and the underlying connective tissue. It is most commonly due to bacteria that are commonly found on the skin, like Staphylococcus and Streptococcus. It can be the result of cracked skin, cuts, bites, blisters, burns, surgery, injections or any other break in the skin.

What are the symptoms?

Cellulitis is associated with skin redness, throbbing pain, skin sensitivity, swelling and increased warmth of the affected skin. The redness increases in area as the cellulitis worsens, and often travels up the forearm and arm. There may be discomfort in the lymph nodes in the armpit and you may have fevers and shakes, and feel generally unwell.

Risk factors

Cellulitis is more likely to occur and be troublesome in individuals who have diabetes, lymphoedema or immune compromise.

Treatment

Treating cellulitis of the hand and forearm involves a combination of

  • elevation
  • antibiotics
  • splinting
  • pain relief
  • rest
  • +/- surgical cleaning of the entry wound or any blistered skin or devitalised tissue
  • identifying the bacterial source of the infection through swabs, blood cultures and/or tissue culture

If cellulitis is not responding promptly to treatment it is advisable to see a surgeon. Cellulitis can progress to become serious and it can also mimic a variety of other infective conditions that require surgery, such as abscess formation, necrotising fasciitis, septic arthritis or flexor tenosynovitis.

FRACS

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