Nailbed Injuries Workup

  • Author: Darrell Sutijono, MD; Chief Editor: Rick Kulkarni, MD   more...
 
Updated: May 7, 2010
 

Imaging Studies

Depending on the extent of injury, radiologic evaluation with anteroposterior, lateral, and oblique views of the injured fingers are useful to rule out foreign bodies and fractures or dislocations of the distal finger.

Fifty-percent of nailbed injuries have an associated distal phalangeal fracture, most often a comminuted tuft fractures.[7] These require no specific treatment other than repair of the nailbed and replacement of the nail in the nail fold.

Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Darrell Sutijono, MD  Clinical Instructor, Department of Emergency Medicine, Yale University School of Medicine

Darrell Sutijono, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and American Institute of Ultrasound in Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Mark A Silverberg, MD, FACEP, MMB  Assistant Professor, Assistant Residency Director, Department of Emergency Medicine, State University of New York Downstate College of Medicine; Consulting Staff, Department of Emergency Medicine, Staten Island University Hospital, Kings County Hospital, University Hospital, State University of New York Downstate at Brooklyn

Mark A Silverberg, MD, FACEP, MMB is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, Council of Emergency Medicine Residency Directors, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Eric M Kardon, MD, FACEP  Attending Emergency Physician, Georgia Emergency Medicine Specialists; Physician, Division of Emergency Medicine, Athens Regional Medical Center

Eric M Kardon, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

Tom Scaletta, MD  Chairperson, Department of Emergency Medicine, Edward Hospital; Past-President, American Academy of Emergency Medicine

Tom Scaletta, MD is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

John D Halamka, MD, MS  Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Rick Kulkarni, MD 

Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: WebMD Salary Employment

References

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  2. Brown RE. Acute nail bed injuries. Hand Clin. Nov 2002;18(4):561-75. [Medline].

  3. Zook EG. Understanding the perionychium. J Hand Ther. Oct-Dec 2000;13(4):269-75. [Medline].

  4. Inglefield CJ, D'Arcangelo M, Kolhe PS. Injuries to the nail bed in childhood. J Hand Surg [Br]. Apr 1995;20(2):258-61. [Medline].

  5. de Alwis W. Fingertip Injuries. Emerg Med Australas. Jun 2006;18(3):229-37. [Medline].

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  10. Kaya TI, Tursen U, Baz K, Ikizoglu G. Extra-Fine Insulin Syringe Needle: An Excellent Instrument for the Evacuation of Subungual Hematoma. Dermatol Surg. Nov 2003;29(11):1141-3. [Medline].

  11. Harrison BP, Hilliard MW. Emergency department evaluation and treatment of hand injuries. Emerg Med Clin North Am. Nov 1999;17(4):793-822. [Medline].

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  15. Hallock GG. Expanded applications for octyl-2-cyanoacrylate as a tissue adhesive. Ann Plast Surg. Feb 2001;46(2):185-9. [Medline].

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Trephination of a subungual hematoma.
Nailbed repair.
 
 
 
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