Deep hand infections
pose several problems: unfamiliar anatomy, lack of clinical suspicion,
ill-defined symptoms, and anatomic predisposition to spread to other deep
spaces in the hand, fingers and forearm. The anatomy has been known since
the publications of Kanavel.
The thenar
space is one such area, existing just superficial to the adductor pollicis
muscle and bridging the transverse interval between the thumb and finger
flexors. As with other deep space infections of the hand, anatomy may be
distorted and regional, rather than space defined involvement may occur. |