Experience of nail bed injuries at a tertiary hand trauma unit: a 12-month review and cost analysis

Yildirimer, Lara; Brewster, Colin T; Aziz, Hina; Unluer, Zeynep; Jemec, Barbara; Leo, Anna De

doi:10.1177/1753193419826465

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…In our study, we found that sports was the most common hobby amongst the study participants. This was like the findings in a study done by Yildirimer L et al, 5 where injuries due to sports related trauma (crush injuries) was a leading cause of nail dyschromia.…”

Section: Discussionsupporting

confidence: 89%

Assessment of clinical and etiological factors in nail dyschromias

Shwetha¹,

Lalitha

Asha³

2021

IJCED

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Healthy nails appear smooth and have consistent coloring. Nail dyschromias have a wide variety of presentation. There are numerous causes of discoloration of the nail affecting the nail plate, nail attachments, or the substance of the nail. Different pattern of nail dyschromias can point out certain dermatological or systemic diseases. To evaluate the causes of nail dyschromias in our clinical setting. Cross sectional observational study. 200 patients presenting with nail dyschromias were included in the study from April 2015 to July 2015. Detailed history was taken and cause for nail dyschromias was evaluated. 115 (57.5%) were males and 85 (42.05%) were females. The most seen nail dyschromia in this study was melanonychia (86.5%) followed by leukonychia (5%), blue chromonychia (5%), brown chromonychia (2%) yellow chromonychia (1.5%). The cause of nail dyschromias were:60 cases(%) were due to antiretroviral drugs, 25(12.5%) due to HIV, 30(15%) physiological melanonychia, 7(3.5% of onychomycosis, 8(4%) of lichen planus, 7(3.5%) of eczema, 15(7.5%) vitamin B12 deficiency, 10(5%) chemotherapy induced blue chromonychia, 3(1.5%) haematoma, 10(5%) leukonychia, 3(1.5%) jaundice 2(1%) Addison’s disease induced, 3(1.5%) cosmetic induced and 17(7.5%) due to other dermatological and systemic conditions. Examination of nail should always be a part of routine cutaneous examination and presentation with nail dyschromias should be worked up with the help of a good history and examination. Careful examination of the nail may help in identifying the root cause and many a times unravels some underlying systemic disorder

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Section: Discussionsupporting

confidence: 89%

Assessment of clinical and etiological factors in nail dyschromias

Shwetha¹,

Lalitha

Asha³

2021

IJCED

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“…Depending on the injury mechanism we will have to consider possible associated injuries. Fingertip injuries most frequently result from a crush injury, often from the hinge side of a door [5]. Approximately 50% of nail bed injuries presenting to hospital are associated with distal phalangeal fractures [6].…”

Section: Nail Trauma Assessmentmentioning

confidence: 99%

Nail Trauma

Veganzones¹

2019

Emergency Medicine and Trauma

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The nails are important elements of the finger, not only aesthetically, but also for its functionality. Not only to protecting the tip of the finger helps us but also to perform meticulously fine dexterity activities. Due to the high incidence of nail injuries seen in a trauma emergency service, it is essential to know, at least, basic aspects of the anatomy and physiology of the nail and what should be the appropriate treatment based on the injury presented by the patient. Injuries such as subungual hematomas are resolved in short time, however, more complex lesions require minor surgical intervention to obtain good results. In this chapter, additionally to reviewing the anatomy-physiological aspects of the nail, the principles of treatment of nail traumas are detailed.

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“…On the other hand, stress wounds are prone to ischemia and hypoxia, and matrix metalloproteinases are constantly activated, which will cause the decomposition of cell growth factors and affect the growth and proliferation of epidermal cells, making wound recovery difficult [ 11 ]. Western medicine usually adopts debridement treatment, surgical intervention, electrical stimulation, biotechnology, and negative pressure wound therapy to carry out wound recovery treatment [ 12 ]. Western medicine treatment causes great damage to the body, with higher costs and more side effects.…”

Section: Introductionmentioning

confidence: 99%

Effect and Mechanism of Dragon’s Blood on Wound Healing of Patients with Stress Hand Injury

Sun

Wang

Yue

et al. 2023

Evidence-Based Complementary and Alternative Medicine

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This study aimed to explore the effect and mechanism of Dragon’s Blood on wound healing in patients with a pressure hand injury. A total of 120 patients with pressure hand injury treated in our hospital were randomly divided into two groups. Sixty patients in the control group were dressed with sterile gauze, and 60 patients in the observation group were smeared with blood exhaustion. The clinical effects and serological indexes of the two groups were compared, and the mechanism of wound healing was analyzed. The results showed that the treatment effective rate of the control group was 80% and that of the observation group was 93.33%. The treatment effective rate of the observation group was dramatically higher ( P < 0.05 ). The number of patients with good granulation tissue in the observation group was 53, which was dramatically greater than that in the control group. The number of patients with a small amount of wound exudation was 51, which was dramatically greater than that in the control group ( P < 0.05 ). After treatment, the levels of matrix metalloproteinase (MMP-3), vascular endothelial growth factor (VEGF), and transforming growth factor B1 (TGF-B1) in the observation group increased more dramatically ( P < 0.05 ). The level of tissue inhibitor of metalloproteinase-1 (TIMP-1) decreased to 617.23 ng/L in the observation group, and the degree of reduction was more obvious ( P < 0.05 ). Notably, Dragon’s Blood promoted wound healing at the injury site by increasing the levels of MMP-3, VEGF, and TGF-B1and decreasing TIMP-1. The area of wound reduction in the observation group was 0.27 cm2, and the reduction was more obvious ( P < 0.05 ). The healing time of pressure hand injury in the observation group was 15.27 days, which was dramatically shorter ( P < 0.05 ). In summary, Dragon’s Blood had a good effect on the healing of the injured site in patients with pressure hand injury, which is worthy of promotion.

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Experience of nail bed injuries at a tertiary hand trauma unit: a 12-month review and cost analysis

Cited by 5 publications

References 13 publications

Assessment of clinical and etiological factors in nail dyschromias

Assessment of clinical and etiological factors in nail dyschromias

Nail Trauma

Effect and Mechanism of Dragon’s Blood on Wound Healing of Patients with Stress Hand Injury

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