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  • Nail bed injuries and deformities of nail
    Nail bed injuries and deformities of nail

    Closed injuries to the nail can happen when there is a mild crushing of the finger tip as in a door crush injury or when a weight like hammer falls over it. This can result in a subungual haematoma – collection of blood between the nail bed and the nail plate

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  • Fingertip Crushing Injury with Nailbed ... - Hand
    Fingertip Crushing Injury with Nailbed ... - Hand

    Fingertip Crushing Injury with Nailbed Involvement. Crushed fingertips generally follow a recognizable pattern of injury. Resulting in an avulsion of of the nail plate, laceration to the sterile nail-bed matrix, with or without a fracture of the tuft of the distal phalanx and remain attached by the volar pulp so there is some circulation remaining and have a better chance of survival

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  • Surgical treatment of acute fingernail injuries
    Surgical treatment of acute fingernail injuries

    Oct 08, 2011 Nail-bed and fingertip injuries are considered in this review, including subungual hematoma, wounds, simple lacerations of the nail bed and/or matrix, stellate lacerations, avulsion of the nail bed, ungual matrix defect, nail-bed injuries associated with fractures of the distal phalanx, and associated fingertip injuries

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  • Nail Bed Injury: Healing Time & Treatments
    Nail Bed Injury: Healing Time & Treatments

    Dark purple or black bruising to the fingertip or the nail bed known as a subungual hematoma. Separation of the nail from the nail bed referred to as onycholysis. Laceration through the nail, cuticle and/or nail bed. Deep grooves across the nail

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  • Nail Bed Injury: Causes and Treatment | The Hand
    Nail Bed Injury: Causes and Treatment | The Hand

    Any type of pinching, crushing or sharp cut to the fingertip may result in a nail bed injury. Simple crushes of the fingertip may result in a very painful collection of blood under the nail. More severe injuries can result in the nail cracking into pieces, part of the nail or fingertip being torn off, and/or other injuries to the finger

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  • Nail Bed Injury - Hand - Orthobullets
    Nail Bed Injury - Hand - Orthobullets

    May 16, 2021 Nail Bed Injury. Nail Bed Injuries are the result of direct trauma to the fingertip and can be characterized into subungual hematoma, nail bed laceration, or nail bed avulsion. Diagnosis is made by careful inspection of the nail bed integrity

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  • Nail Bed Injury Types, Causes, and Treatments
    Nail Bed Injury Types, Causes, and Treatments

    Jul 11, 2018 A nail bed laceration is when your nail and the underlying nail bed get cut. It’s usually caused by a saw or knife but can also be caused by a crushing injury. If you have a nail bed laceration

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  • NailBed Injuries, Part II – Closing the Gap
    NailBed Injuries, Part II – Closing the Gap

    Think of your fingernail as the “armor” for your sensitive and vulnerable finger tip. A 3-year-old child with a crush injury to the distal finger, with interruption of the nail bed matrix and laceration of the nail bed and surrounding tissues. A hand surgeon was consulted to aid in repair of this complex injury

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  • Nail Bed Injury - St George's Hospital
    Nail Bed Injury - St George's Hospital

    What is a nail bed injury? A nail bed injury is a very common childhood injury which happens when a fingertip or toe gets crushed or trapped between or by a heavy object, such as being shut in a closing door. The nail bed sits between the fingernail or toenail and the bone. It helps the nail grow normally and secures the nail plate to the

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  • Experience of nail bed injuries at a tertiary hand trauma
    Experience of nail bed injuries at a tertiary hand trauma

    We carried out a retrospective analysis of nail bed injuries treated operatively at a tertiary Plastic Surgery Hand Trauma Unit during 2016. The National Schedule of Reference Costs (2015-2016) was used to estimate the costs of treating 630 patients. The most common mechanism was a crush injury in a door (33%)

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  • Traumatic Finger Injuries: What the Orthopedic Surgeon
    Traumatic Finger Injuries: What the Orthopedic Surgeon

    Jul 11, 2016 Substantially displaced fractures imply nail bed injury and often require nail plate removal, K-wire fixation, and nail bed repair . It is critical for the radiologist to assess any widening of the fracture line on the lateral image, because this may indicate nail bed entrapment, which can prevent successful reduction . Mallet Finger

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  • Nailbed Injury & Broken Finger Tip — Bone Talks
    Nailbed Injury & Broken Finger Tip — Bone Talks

    The mildest injury to the finger tip is a collection of blood under the finger nail, called a subungual hematoma . The nail is stronger than the skin below it, called the nail bed, also known as the sterile matrix . If the finger gets crushed, the nail may be ok but but the nail bed will tear, causing bleeding under the nail

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  • Nail bed injury: Pictures, types, and treatments
    Nail bed injury: Pictures, types, and treatments

    May 18, 2020 The nail bed is the skin underneath the nail. Injuries to this area are common, and they often occur when a heavy object crushes or hits the fingers or toes or when a person sustains a cut from a

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  • How to Promote Nail Regrowth After an Injury | Fingernail
    How to Promote Nail Regrowth After an Injury | Fingernail

    Mar 12, 2018 Your nail will need to regrow from scratch, and this could take months to a year and a half. There are some steps that you can take at home to promote nail regrowth after an injury. Our team at Arora Hand Surgery can explain more during a consultation at our office in Warren, West Bloomfield, Macomb Township, or Howell

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  • Smashed Finger: Treatment, Recovery, Seeking Help, and
    Smashed Finger: Treatment, Recovery, Seeking Help, and

    Nov 17, 2017 The fingernail on the smashed finger may also fall off within a week or two of the injury. Read on to learn more about treating a smashed finger, and when you need to seek help. Immediate relief

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  • Fingertip-nail bed injuries in children: current concepts
    Fingertip-nail bed injuries in children: current concepts

    Abstract. Crush injuries of the fingertip are the most common hand injuries seen in children. Many involve fracture of the distal phalanx, whereas others result in either crush alone or complete or partial fingertip amputation. The need for nail removal and nail bed repair after crush injury to the fingertip has long been a matter of debate

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  • Fingernail Avulsion and Injury to the Nail Bed : Emergency
    Fingernail Avulsion and Injury to the Nail Bed : Emergency

    The nail may be gently removed by spreading small scissors placed between the nail and nail bed, allowing the nail bed to be anatomically repaired with 6-0 absorbable sutures, right. This does away with annoying paper drapes that invariably fall off, and it certainly impresses a surgeon who may be wandering through the ED

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  • Fingertip Injuries - American Family Physician
    Fingertip Injuries - American Family Physician

    May 15, 2001 The mechanism of injury for nail bed lacerations is usually a high-force crush (e.g., injury by machine press) or high-speed laceration (e.g., injury by

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  • Nail Bed (Nailbed) Injury Management in the ED Treatment
    Nail Bed (Nailbed) Injury Management in the ED Treatment

    Dec 27, 2021 A hand surgeon should be consulted for significantly avulsed nail matrix or for severe crush injuries. In general, except for a simple subungual hematoma in which the nail bed was not inspected for potential laceration or injury, a wound check in 2-5 days is suggested to check for infection and to repack the nail fold, if necessary

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  • Distal Phalangeal and Fingertip Injuries - Hand Surgeon
    Distal Phalangeal and Fingertip Injuries - Hand Surgeon

    Tuft fractures are generally associated with crush injuries and may be accompanied by open and closed injuries to the nail bed or volar pad. The force of the crush and its duration will determine the extent of the injury. Less severe injuries are frequently accompanied by mild swelling and ecchymosis (Figure 3-1)

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  • Nail Bed Injuries: Types, Causes and Treatment | The Hand
    Nail Bed Injuries: Types, Causes and Treatment | The Hand

    Jan 22, 2016 The hand has a substantial number of bones, not to mention quite a few other important parts including ligaments, tendons, joints, the nails and the nail bed. An injury to the hand can cause damage to any and all of these locations. The nail and the nail bed are two of the areas that many people rarely consider when they think about injuries to their hand

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  • Evidence-based Approach to Nailbed Injuries: ED
    Evidence-based Approach to Nailbed Injuries: ED

    Aug 09, 2021 Orthopedic surgery/hand surgery is consulted for this complex nailbed laceration. In order to fully expose and repair the nailbed, the entire nail is removed. A slowly oozing 0.5 cm laceration to the nail bed is identified, cleaned, debrided and repaired with 6-0 chromic sutures

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  • Soft Tissue Injuries of the Hand - RCEMLearning
    Soft Tissue Injuries of the Hand - RCEMLearning

    Mar 05, 2020 Nail bed lacerations. Nail bed lacerations should be suspected in all fingertip crush injuries. Simple or stellate nail bed lacerations without underlying fractures have a better prognosis than nail bed avulsions [3]. These injuries can be repaired by separating and removing the nail plate from the nail bed with fine scissors

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  • Nail Bed Laceration and Repair in the Emergency Department
    Nail Bed Laceration and Repair in the Emergency Department

    Jun 18, 2018 3. Roser SE, Gellman H. Comparison of nail bed repair versus nail trephination for subungual hematomas in children. J Hand Surg Am. 1999 Nov;24(6):1166-70. 4. Cannon B et al. Digital anaesthesia: one injection or two? Emerg Med J. 2010 Jul;27(7):533-6. 5. Martin SP et al. Double-dorsal versus single-volar digital subcutaneous anaesthetic injection for finger

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  • Fingertip Injury • LITFL • Bamboozler
    Fingertip Injury • LITFL • Bamboozler

    Jun 26, 2021 A fingertip injury is defined as any soft tissue, nail or bony injury distal to the dorsal and volar skin creases at the distal interphalangeal joint and insertions of long flexor and extensor tendons of a finger or thumb. Q2. Describe the anatomy of the fingertip. Answer and interpretation. The finger tip can be broken up into 3 parts

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  • Management of Pediatric Distal Fingertip Injuries: A
    Management of Pediatric Distal Fingertip Injuries: A

    Jan 20, 2020 Nail bed injuries include subungual hematomas, simple or stellate lacerations, crush injuries, and avulsions , 2 and the trauma is often underestimated. 3 The commonest mechanism is via a crush injury of the middle finger in a closing door in the home environment, 4 despite the presence of adults. 5. Fig. 1.:

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  • Nail injuries: MedlinePlus Medical Encyclopedia
    Nail injuries: MedlinePlus Medical Encyclopedia

    Jan 11, 2022 Nail injuries. A nail injury occurs when any part of your nail becomes injured. This includes the nail, nail bed (skin underneath the nail), cuticle (base of the nail), and the skin around the sides of the nail. An injury occurs when the nail is cut, torn, smashed, or bruised, or the nail is torn away from the skin

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  • Fingertip Injuries: Evaluation and Treatment
    Fingertip Injuries: Evaluation and Treatment

    84 Journal of the American Academy of Orthopaedic Surgeons Fingertip injuries, defined as those distal to the insertion of the flexor and extensor tendons, are the most common injuries of the hand. Al-though maintenance of length, preservation of the nail, and appear-ance are important, the primary goal of treatment is a painless fingertip

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