A purulent infection in the tight fascial plane adjacent to the terminal intraphalangeal joint of the fingers or toes, due to an open wound; as the inflammatory mass expands within the confined space, the vascular supply is compromised, predisposing the site to osteomyelitis, pulp necrosis and sloughing of tissue; the pain is very intense and seemingly disproportionate with the scant amount of swelling and erythema clinically evident.
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