In a hand infection today, due cognizance is taken of the tendon sheaths and, more particularly, of the palmar spaces and the thecal bursae in visualizing the spread of the infection and locating incisions where they will aid drainage most effectively. Similar information concerning the foot is available. In the case of the thigh, the situation is not as pleasing.
One is frequently confronted with purulent collections about the groin, buttock and thigh. It is customary to wait for them to localize. They are incised over the apex of the region and healing is awaited. Usually, they act satisfactorily, but not infrequently they fail to do so, and draining sinuses, often multiple, persist for protracted periods. From time to time, a new collection appears often quite distant from the primary site, yet apparently related in some obscure fashion. I have encountered patients draining intermittently in such fashion for as long
MILGRAM JE. SURGERY OF SUPPURATION IN THE FASCIAL SPACES OF THE THIGH. JAMA. 1932;98(2):117-123. doi:10.1001/jama.1932.02730280025006