Subungual hematoma: Difference between revisions

Revision as of 03:11, 28 March 2012

Trephination
1. Handheld cautery works best
Instruct pts to soak affected finger in warm water BID-TID x7d
Nail removal only recommended if there is associated nail avulsion or nail fold disruption

Authors:

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 ==Background==
-A painful condition that results from a collection of blood under the fingernail
+*Consider intervention for hematoma >50% of nail bed
-==Diagnosis==
+==Management==
-#Clinical
+#Trephination
-##Blunt trauma to nailbed
+##Handheld cautery works best
-##Blood under nail
+#Instruct pts to soak affected finger in warm water BID-TID x7d
+#Nail removal only recommended if there is associated nail avulsion or nail fold disruption
-==Work-Up==
-None (may consider x-rays if possibility of underlying phalange fracture)
-==DDx==
-Tuft's Fracture
-==Treatment==
-#Trephination (use handheld cautery)
-##Nail removal reserved for those with associated with disruption of the nail or surrounding nail folds
-==Disposition==
-Home
 ==See Also==
-[[Finger Fracture]]
+*[[Finger Fracture]]
 ==Source==
-*Adapted from KajiQuestions
+*Tintinalli
-*Singer AJ. Current Management of Acute Cutaneous Wounds. N Engl J Med 2008; 359:1037-1046
 [[Category:Ortho]]
 [[Category:Trauma]]