Subungual hematoma

Revision as of 17:49, 31 January 2013 by Abookatz (talk | contribs) (classifications)

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

  1. Trephination
    1. Handheld cautery works best
  2. Instruct pts to soak affected finger in warm water BID-TID x7d

=Complex

  1. Nail removal only recommended if there is associated nail avulsion or nail fold disruption

See Also

Source

  • Tintinalli
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