Fingertip avulsion

Revision as of 03:07, 28 March 2012 by Jswartz (talk | contribs) (Created page with "==Background== *Consult hand surgeon for all pts w/ amputation proximal to the lunula ==Management== ===No exposed bone or nail bed involvement=== *Treat conservatively with ser...")
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Background

  • Consult hand surgeon for all pts w/ amputation proximal to the lunula

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
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