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
Subungal hematoma
All blood has been expelled through the trephination hole

Considerations

  • melanoma
  • kaposi sarcoma
  • endocarditis

Types

  • Simple - no nailbed dislocation, no e/o open fracture
  • Complex - beyond simple

Management

Trephination

Simple

  1. Trephination
    1. Handheld cautery works best - no anesthesia is required
  2. If a fracture is present, the digit should be splinted
  3. Instruct pts to soak affected finger in warm water BID-TID x7d

Complex

  1. Nail removal only recommended if there is associated nail avulsion or nail fold disruption

See Also

Source

  • Tintinalli