Subungual hematoma: Difference between revisions
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==Background== | ==Background== | ||
*Consider intervention for hematoma >50% of nail bed | *Consider intervention for hematoma >50% of nail bed | ||
[[File:Subungal hematoma.jpg|thumb|Subungal hematoma]] | |||
[[File:Post trephonation.jpg|thumb|All blood has been expelled through the trephination hole]] | |||
==Considerations== | ==Considerations== | ||
*melanoma | *melanoma | ||
| Line 12: | Line 13: | ||
==Management== | ==Management== | ||
[[Trephination]] | |||
===Simple=== | ===Simple=== | ||
Revision as of 21:33, 23 July 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