Subungual hematoma
Revision as of 11:54, 30 September 2014 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page Subungual Hematoma to Subungual hematoma)
Background
- Consider intervention for hematoma >50% of nail bed
Considerations
- melanoma
- kaposi sarcoma
- endocarditis
Types
- Simple - no nailbed dislocation, no e/o open fracture
- Complex - beyond simple
Management
Simple
- Trephination
- Handheld cautery works best - no anesthesia is required
- If a fracture is present, the digit should be splinted
- Instruct pts to soak affected finger in warm water BID-TID x7d
Complex
- Nail removal only recommended if there is associated nail avulsion or nail fold disruption
See Also
Source
- Tintinalli