Felon Follow-up

Updated: Mar 11, 2021
  • Author: Brandon Stein, MD; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Follow-up

Further Outpatient Care

The finger should be soaked 3-5 times daily in soapy water or dilute povidone-iodine solution per expert recommendations.

Provide follow-up care within 2 days.

Remove packing in 2-5 days

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Complications

 

Osteomyelitis involving the diaphysis of distal phalanx is a common complication.

The most serious complication of felon is acute tenosynovitis, which may result from contiguous spread of infection. This can be iatrogenic from inadvertent nicking of the flexor tendon sheath during drainage.

Other complications include skin necrosis, deformity of the fingertip, septic arthritis, and instability of the finger pad.

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Prognosis

Prognosis is excellent when treated early and appropriately. Patients may have pain, sensitivity or deformity for upwards of 6-months. 

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