Management of fingertip and nail bed injuries

Shaw, A.D.; Findlay, J. Parkes; Kulkarni, M.

doi:10.12968/hmed.2011.72.sup8.m114

Cited by 6 publications

(11 citation statements)

References 14 publications

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“…The basic principles in treatment of nail bed injuries after blunt trauma are sufficient cleaning, minimal debridement of the nail bed, proper alignment of the injured structures, repair with the use of a loupe, micro instruments and small, thin needles with absorbable sutures, preservation of marginal skin folds, and an appropriate wound dressing [4,8] . Often the old nail or the Zimmer splint is applied to protect the nail bed and acts as a “splint” by holding open the nail fold and preventing scarring between the nail fold and the nail bed.…”

Section: Discussionmentioning

confidence: 99%

“…Fingertip and nail bed injuries are seen at all ages, with a peak incidence in 4–30 years old patients. Patients are most often initially treated by family doctors or physicians at the emergency department [1,3,4] . Chang et al reported that 10% of all the accidents encountered in the emergency department involve the hand.…”

Section: Introductionmentioning

confidence: 99%

“…In case of fingertip injuries the nail bed is damaged in 15–24% of the cases [3] . Fingertip injuries are defined as any injury to the distal phalanx, including soft tissue, nail plate, nail bed, tendon and bone [1,4] . In most cases a combination of injured structures is present.…”

Section: Introductionmentioning

confidence: 99%

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Case report of nail bed injury after blunt trauma; what lies beneath the nail?

Nanninga

Leur

Boom

et al. 2015

International Journal of Surgery Case Reports

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HighlightsFingertips are easily injured with various extents of soft tissue damage.Delayed and inadequate treatment of nail bed injuries may cause substantial clinical problems.The aim of this case report is to increase awareness about nail bed injuries among physicians who often treat these patients.Absence of a fracture does not exclude nail bed injuries.Adequate initial assessment and treatment are important to achieve the functional and cosmetic outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Case report of nail bed injury after blunt trauma; what lies beneath the nail?

Nanninga

Leur

Boom

et al. 2015

International Journal of Surgery Case Reports

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“…Identify any deformities indicating possible underlying fractures, dislocation, or tendon avulsion, followed by complete examination of motor and sensory function, and vascular supply. 62 The finger should be anesthetized with a digital ring block using 0.25-0.5% bupivacaine and 1% lidocaine. The nail bed needs thorough irrigation with 0.9% saline to evaluate the nature and extent of the damage and remove any contaminating material.…”

Section: Traumamentioning

confidence: 99%

“…The nail bed needs thorough irrigation with 0.9% saline to evaluate the nature and extent of the damage and remove any contaminating material. 62…”

Section: Traumamentioning

confidence: 99%

Painful nails: A practical approach to the diagnosis and management of painful nail conditions

et al. 2021

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Because several nail disorders share similar clinical features, their diagnosis and management can be challenging to clinicians. The physical examination may disclose localized abnormalities or point to an underlying systemic disease, requiring additional workup. Furthermore, cosmetic distress and nail-related symptoms (e.g., tingling, stinging, numbness, and pain) are common factors that influence the patient's search for medical assistance. Nail pain (i.e., onychalgia) can accompany both localized and systemic pathology. Onychalgia can be acute or chronic according to the time of evolution; patients may describe it as intermittent or constant, and as a throbbing, burning, sharp, or shooting sensation denoting the nature of the pain. It may be exacerbated by colder temperatures, touch, and increased activity (e.g., manipulating objects, walking). We present four main groups of conditions that might cause nail pain: nail tumors, nail deformities, inflammatory or infectious diseases, and external or traumatic agents. Our article includes an overview of the clinical features, as well as diagnosis and management pearls for each entity. Physicians (dermatologists and nondermatologists) should be aware that abnormalities of the ungual and subungual space are not exclusive of dermatological disorders but may also be present in noncutaneous contexts.

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