Subungual hematoma: Difference between revisions
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===Simple=== | ===Simple=== | ||
#Trephination | #Trephination | ||
##Handheld cautery works best | ##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 | #Instruct pts to soak affected finger in warm water BID-TID x7d | ||
Revision as of 21:22, 14 June 2014
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