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Fingertip Injuries Follow-up

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

Further Outpatient Care

Keep hand elevated.

Check wound 2 days after ED treatment.

Analgesics may be necessary for first few days.

Splint fractures in extension for 2 weeks.

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Further Inpatient Care

Keep hand elevated.

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Complications

Untreated nailbed lacerations may lead to subsequent nail deformities.

When amputation with loss of two thirds of the nail occurs, half of the fingers develop beaking or a curved nail.

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Prognosis

Oldest recorded patient to show fingertip regeneration was aged 11 years.

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Patient Education

Full growth of nail takes an average of 100 days, but fingertip trauma may delay growth by 20 days.

Average healing time for fingertip amputation is 21-27 days.

Remove sutures after 7-10 days.

For excellent patient education resources, visit eMedicineHealth's Skin Conditions and Beauty Center. Also, see eMedicineHealth's patient education articles Finger Injuries, Nail Injuries, Subungual Hematoma (Bleeding Under Nail), and Splinters.

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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.

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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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