Fingertip avulsion

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
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