Fingertip avulsion - Revision history

Rossdonaldson1: /* See Also */

2023-03-01T19:22:04Z

2021-07-29T20:49:04Z

Evaluation

← Older revision		Revision as of 20:49, 29 July 2021
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	===Fingertip Zones===		===Fingertip Zones===
			[[File:Fingertip avulsion.JPG\|thumb]]
	*Zone I - Distal to tip of phalanx		*Zone I - Distal to tip of phalanx
	*Zone II - Between tip of phalanx and lunula		*Zone II - Between tip of phalanx and lunula

2021-07-29T20:48:33Z

Exposed Bone

← Older revision		Revision as of 20:48, 29 July 2021
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	===Exposed Bone===		===Exposed Bone===
	~~[[File:Fingertip avulsion.JPG\|thumb]]~~
	*Zone II injuries		*Zone II injuries
	**Consider hand surgery consult		**Consider hand surgery consult

2021-07-29T20:48:05Z

Exposed Bone

← Older revision		Revision as of 20:48, 29 July 2021
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	===Exposed Bone===		===Exposed Bone===
			[[File:Fingertip avulsion.JPG\|thumb]]
	*Zone II injuries		*Zone II injuries
	**Consider hand surgery consult		**Consider hand surgery consult
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	**Consider treating like Zone II		**Consider treating like Zone II
	**Healing time 3-6wks<ref name="Lamon" />		**Healing time 3-6wks<ref name="Lamon" />
	~~[[File:Fingertip avulsion.JPG\|thumb]]~~

	==Disposition==		==Disposition==

2021-07-29T20:47:07Z

Exposed Bone

← Older revision		Revision as of 20:47, 29 July 2021
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	**Consider treating like Zone II		**Consider treating like Zone II
	**Healing time 3-6wks<ref name="Lamon" />		**Healing time 3-6wks<ref name="Lamon" />
			[[File:Fingertip avulsion.JPG\|thumb]]

	==Disposition==		==Disposition==

2021-05-08T03:04:25Z

← Older revision	Revision as of 03:04, 8 May 2021
(No difference)

2021-05-08T02:41:50Z

Evaluation

2020-12-04T00:48:05Z

Management

← Older revision		Revision as of 00:48, 4 December 2020
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	==Management==		==Management==
	*Pain control ([[Digital block]])		*Pain control ([[Digital block]])
			*Irrigate and debride non-viable tissue
			*Replantation rarely indicated for zone I-III amputations
			*Patients more likely to benefit from replantation for thumb and index finger amputations

	===No exposed bone or nail bed involvement===		===No exposed bone or nail bed involvement===
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	*Zone II injuries		*Zone II injuries
	**Consider hand surgery consult		**Consider hand surgery consult
	**Irrigate and debride non-viable tissue
	**Rongeur bone if bony protuberance		**Rongeur bone if bony protuberance
	**Trim digital nerves proximal to skin to avoid painful neuroma formation		**Trim digital nerves proximal to skin to avoid painful neuroma formation

2020-12-04T00:47:12Z

Exposed Bone

← Older revision		Revision as of 00:47, 4 December 2020
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	**Consider treating like Zone II		**Consider treating like Zone II
	**Healing time 3-6wks<ref name="Lamon" />		**Healing time 3-6wks<ref name="Lamon" />

	*Replantation rarely indicated for zone I-III amputations
	*Patients more likely to benefit from replantation for thumb and index finger amputations

	==Disposition==		==Disposition==

2020-12-04T00:46:15Z

Exposed Bone

← Older revision		Revision as of 00:46, 4 December 2020
Line 33:		Line 33:
	*Zone II injuries		*Zone II injuries
	**Consider hand surgery consult		**Consider hand surgery consult
			**Irrigate and debride non-viable tissue
	**Rongeur bone if bony protuberance		**Rongeur bone if bony protuberance
	**Trim digital nerves proximal to skin to avoid painful neuroma formation		**Trim digital nerves proximal to skin to avoid painful neuroma formation
			**Consider nail removal if significant involvement, possibility of hook nail deformity it damaged nail left in situ
	**Conservative treatment with non-adherent dressing generally preferred<ref>https://pubmed.ncbi.nlm.nih.gov/31185316/</ref><ref>https://pubmed.ncbi.nlm.nih.gov/25191157/</ref> vs. wound closure with flap		**Conservative treatment with non-adherent dressing generally preferred<ref>https://pubmed.ncbi.nlm.nih.gov/31185316/</ref><ref>https://pubmed.ncbi.nlm.nih.gov/25191157/</ref> vs. wound closure with flap
	**Follow up with hand surgery in 3-5d		**Follow up with hand surgery in 3-5d
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	**Consider treating like Zone II		**Consider treating like Zone II
	**Healing time 3-6wks<ref name="Lamon" />		**Healing time 3-6wks<ref name="Lamon" />

			*Replantation rarely indicated for zone I-III amputations
			*Patients more likely to benefit from replantation for thumb and index finger amputations

	==Disposition==		==Disposition==

← Older revision		Revision as of 19:22, 1 March 2023
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	*[[Finger amputation]]		*[[Finger amputation]]
	*[[Distal phalanx (finger) fracture]]		*[[Distal phalanx (finger) fracture]]

			{{Special lacerations see also}}

	==References==		==References==