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Fingertip Injuries Clinical Presentation

  • Author: Glen Vaughn, MD; Chief Editor: Trevor John Mills, MD, MPH  more...
 
Updated: Sep 23, 2015
 

History

Ascertain the following information when gathering patient history:

  • Mechanism of injury
  • Hand dominance
  • Occupation and hobbies
  • Length of time since injury
  • Tetanus immunization status
Next

Physical

Evaluate the fingertip injury to determine the following:[2]

  • Crush versus sharp injuries
  • Nail or nail bed involvement
  • Bone involvement
  • Viability of tip
  • Presence of foreign body
Previous
 
 
Contributor Information and Disclosures
Author

Glen Vaughn, MD Director, Department of Emergency Medicine, Defiance Hospital

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Eric L Legome, MD Chief, Department of Emergency Medicine, Kings County Hospital Center; Professor Clinical, Department of Emergency Medicine, State University of New York Downstate College of Medicine

Eric L Legome, MD is a member of the following medical societies: Alpha Omega Alpha, Council of Emergency Medicine Residency Directors, American Academy of Emergency Medicine, American College of Emergency Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Trevor John Mills, MD, MPH Chief of Emergency Medicine, Veterans Affairs Northern California Health Care System; Professor of Emergency Medicine, Department of Emergency Medicine, University of California, Davis, School of Medicine

Trevor John Mills, MD, MPH is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians

Disclosure: Nothing to disclose.

Additional Contributors

Jeffrey Glenn Bowman, MD, MS Consulting Staff, Highfield MRI

Disclosure: Nothing to disclose.

References
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Significant nailbed injuries can occur from nail root avulsions.
Removal of the nail plate with iris scissors.
Suturing of a nailbed laceration.
Sutured nailbed injury.
U-stitch method of securing the nail plate.
 
 
 
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