Nailbed laceration: Difference between revisions
(New article) |
No edit summary |
||
| Line 21: | Line 21: | ||
*A nail-shaped adaptic or non-adherent gauze may be placed under the nail fold if the original nail is misplaced or unusable | *A nail-shaped adaptic or non-adherent gauze may be placed under the nail fold if the original nail is misplaced or unusable | ||
== | ==Prognosis== | ||
*Complete nail growth may take 70 to 160 days | *Complete nail growth may take 70 to 160 days | ||
*Potential risk of nail deformity and losing the nail | *Potential risk of nail deformity and losing the nail | ||
==See Also== | ==See Also== | ||
*[[Subungal hematoma]] | |||
Revision as of 21:49, 14 June 2014
Background
- Results from a crush injury or blunt trauma
Clinical Features
- May include one or more of the following:
- Nail avulsion (partial or complete)
- Nailbed laceration
- Distal phalanx fracture
Differential Diagnosis
- Subungal hematoma
- Distal phalanx fracture
Workup
- Obtain xrays of the involved digits if there is suspicion for fracture
Management
- Repair simple lacerations using 5-0 or 6-0 absorbable sutures
- Trephination should be performed to allow drainage of blood after the nail is reinserted into the nail fold
- The nail may be sutured in place through the trephinated hole(s) or taped in place
- A nail-shaped adaptic or non-adherent gauze may be placed under the nail fold if the original nail is misplaced or unusable
Prognosis
- Complete nail growth may take 70 to 160 days
- Potential risk of nail deformity and losing the nail