Fingertip avulsion: Difference between revisions
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==Background== | ==Background== | ||
*Consult hand surgeon for all | *Consult hand surgeon for all patients with amputation proximal to the lunula (crescent-shaped whitish area) | ||
==Management== | ==Management== | ||
Revision as of 20:43, 28 March 2012
Background
- Consult hand surgeon for all patients with amputation proximal to the lunula (crescent-shaped whitish area)
Management
No exposed bone or nail bed involvement
- Treat conservatively with serial dressing changes alone
- Cover wound with nonadherent dressing
- Instruct pt to soak fingertip in antibacterial soap-added water for 10min QD and then rapply nonadherent dressing
- F/u in 2d
Exposed Bone
- Rongeur bone if bony protuberance is <0.5cm in length
- Then let heal by secondary intention as described above
Source
- Tintinalli