Journal of Bone and Joint Surgery, 1973;55:741-746.
© 1973 by The Journal of Bone and Joint Surgery, Inc
Infections and Sloughs in the Hands in Drug Addicts
DONALD MCKAY M.D.1,
EMIL F. PASCARELLI M.D.1, and
RICHARD G. EATON M.D.1
1 From the Hand Service and Department of Ambulatory Care, The Roosevelt Hospital, New York
Twenty-four cases of infections and sloughs in the hand in drug addicts have been treated surgically at The Roosevelt Hospital from 1968 to 1972. They were predominantly observed in those who used the veins in their hands and fingers for injections, and consisted of dorsal abscesses on the hand and tissue sloughs, tenosynovitis, and joint-space infections in the fingers. Boutonnière deformity was also frequently seen.
These lesions demanded early definitive and even radical treatment by the single most predictable means available, because generally the addict would not follow through with further treatment.