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Nail Bed Injury


Presentation

  • METHODS: Patients, 18 to 65 years old, presenting with a blunt trauma of distal finger and diagnosed with subungual hematoma were eligible for the study.[ncbi.nlm.nih.gov]
  • More than 70 acute pediatric presentations are covered in a signs and symptoms section designed with side tabs for easy access.[books.google.de]
  • […] puncture nail using sterile needle electrocautery to perforate nail nail removal, D&I, nail bed repair indications 50 % nail involved technique nail bed repair (see techniques) Nail Bed Lacerations Laceration of the nail and underlying nail bed usually present[orthobullets.com]
Weakness
  • Symptoms of Fingertip and Nail Bed Injuries Depending on the severity of the injury, symptoms can range from slight to extreme pain, tissue loss or amputation, bleeding, swelling, throbbing, or weakness with the inability to straighten and bend the finger[handtoshoulderwisconsin.com]
Anemia
  • Anemia or low iron in your body A part from nail bed infection, anemia or low iron in your body may result to purple nail beds. When the iron level of your body is low, it means that the blood is not being oxygenated adequately.[healtreatcure.org]
Pallor
  • […] malformations e) Vasospasm Clinical Examination A thorough history and careful physical examination Fractures and dislocations should be reduced before examination Hard signs Pulsatile bleeding Expanding haematoma Thrill or bruit Evidence of ischemia (pallor[opnews.com]
Cold Intolerance
  • J Trauma Acute Car Surg 2012; 72: 1681-7. full article . compare reconstruction, bone-shortening, or conservative treatment in 50 patients, no difference in sensation, strength, or cosmesis. high rate overall for nail deformity and cold intolerance. 11[bonetalks.com]
Vascular Disease
  • Patients with diabetes or peripheral vascular disease were excluded. Dressings were applied according to manufacturers' recommendations. The avulsed nail was anatomically positioned and held in place with a dressing (without suturing).[journals.lww.com]
Cyanosis
  • Blue nail beds can also be caused by a condition known as cyanosis. This condition is commonly caused by lack or low levels of oxygen circulation in the red blood cells. If you have persistent blue nail beds, visit your doctor right away.[healtreatcure.org]
Palpitations
  • This edition's highlights include new chapters on palpitations, cystic fibrosis, travel related emergencies, and ultrasound and a new appendix on practice pathways.[books.google.de]
Nail Deformity
  • Injury produces nail deformity. Nail fold the most proximal extent of the perinychium. Has a dorsal roof and ventral floor(germinal matrix). Paronychium skin of the each side of the nail. Hyponychium skin distal to the nail.[eorif.com]
  • J Trauma 1967; 7: 177-90. full article . without repairing nailbed, high risk nail deformity. 7) Da Cruz DJ et al. Fractures of the distal phalanges.[bonetalks.com]
  • Management of complications, including nail deformities (hook nail, raised nail, and split nail), will also be presented.[jhu.pure.elsevier.com]
  • Nail bed injuries are almost always treatable but in rare cases can cause nail deformities. When your fingertip or your nail bed is pinched, crushed, or cut, it causes a nail bed injury.[healthline.com]
  • To reduce the risk of a permanent nail deformity, the injury should be repaired immediately, which requires removal of the nail.[merckmanuals.com]
Tingling
  • Hypersensitivity to cold and residual mild numbness or tingling are common following fingertip injuries.[handtoshoulderwisconsin.com]
  • The purple color may be accompanied with some tingling which is an indication that the nails are not getting enough blood. When the nails are supplied by enough blood, they will appear to be brighter red or pink.[healtreatcure.org]
Neglect
  • When this is neglected, granulation tissue forms under the nail plate and it becomes very difficult to accurately oppose the nailbed subsequently.[handsurgerysingapore.com]
  • The authors note that medical textbooks frequently neglect the subject of the, deformed, or split fingernails as a result of injury.[journals.lww.com]
Excitement
  • In the excitement and anxiety of a crush injury, this may be overlooked, and the resultant mallet finger may actually be more of a long-lasting cosmetic concern than the nail injury.[journals.lww.com]
Headache
  • […] procedures such as maggot treatment for chronic ulcers, endovenous vein closure, stress echo, insertion of the contraceptive capsule (Implanon) and tubal implant (Essure), musculoskeletal ultrasound, no-needle/no-scalpel vasectomy, procedures to treat acute headaches[books.google.de]

Treatment

  • What are Nail Bed Injuries Treatment Costs in Biloxi? Your treatment for a nail bed injury is a very personalized procedure. Therefore, Dr. Miller’s staff will be happy to discuss nail bed injuries treatment prices with you on an individual basis.[apogeeplasticsurgery.com]
  • Treatment of subungual hematomas with nail trephination: a prospective study. Injuries to the nail bed in childhood. Anatomy and physiology of the perionychium: a review of the literature and anatomic study.[wheelessonline.com]
  • Nail bed injuries – nail bed treatment typically consists of the nail plate being removed, debridement (cleansing) and repair of the nail bed tissue. Compound fractures – treatment may include debridement (cleaning) and repair of the fractured bone.[handtoshoulderwisconsin.com]
  • […] remove nail and trim matrix to level of bone Split nail caused by scarring of the matrix following injury to nail bed Treatment excise scar tissue and replace nail matrix graft may be needed Please rate topic.[orthobullets.com]
  • Treatment of the Nail Bed The treatment of any nail bed injury is designed to resume typical health of the nail bed.[lahandsurgeon.com]

Prognosis

  • A study of Nail Bed Injuries: causes, treatment, and prognosis. A Prospective, Randomized, Controlled Trial of 2-Octylcyanoacrylate Versus Suture Repair for Nail Bed Injuries Original Text by Clifford R. Wheeless, III, MD.[wheelessonline.com]
  • Suturing the nail directly to the eponychial fold should be discouraged Prognosis The final appearance and function of the nail and surrounding structures depends on the ability to restore the normal anatomy and the extent of the intitial injury.[handctr.com]
  • […] hospital emergency department Pathophysiology mechanisms of injury include crushing fingertip between two objects catching finger in a closing door saw injury snowblower injury direct blow from a hammer Associated conditions D IP fractures or dislocations Prognosis[orthobullets.com]
  • PROGNOSIS The final appearance and function of the nail and surrounding structures depends on the ability to restore the normal anatomy. If the injury is sharp and can be repaired, a normal nail is likely.[sydneyhandsurgeryclinic.com.au]
  • Treatment and prognosis The majority of distal phalanx fractures are minimally displaced and may be treated conservatively. Closed fractures are generally stable, especially when they do not involve the articular surface.[radiopaedia.org]

Etiology

  • […] wound of toe; includes fingernail; without complication) 893.0 (open wound of toe; includes fingernail; with complication) 893.0 (open wound of toe; includes fingernail; with tendon involvement) 816.02 (closed, distal phalanx fracture) Nail Bed Injury Etiology[eorif.com]

Epidemiology

  • […] includes fingernail; without complication) 893.0 (open wound of toe; includes fingernail; with complication) 893.0 (open wound of toe; includes fingernail; with tendon involvement) 816.02 (closed, distal phalanx fracture) Nail Bed Injury Etiology / Epidemiology[eorif.com]
  • Injury types include subungual hematoma (details below) nail bed laceration nail bed avulsion Epidemiology nail bed injuries are included under the umbrella of fingertip injuries finger tip injuries are the most common hand injuries seen in the hospital[orthobullets.com]
  • He is the Director of Podiatric Research at the University of Pennsylvania Medical Center-Presbyterian, and is a Fellow of the Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania. Dr.[podiatrytoday.com]
Sex distribution
Age distribution

Pathophysiology

  • […] subungual hematoma (details below) nail bed laceration nail bed avulsion Epidemiology nail bed injuries are included under the umbrella of fingertip injuries finger tip injuries are the most common hand injuries seen in the hospital emergency department Pathophysiology[orthobullets.com]

Prevention

  • The stent prevents adherence of the proximal nail fold to the underlying matrix, promoting patient comfort during subsequent dressing changes.[ncbi.nlm.nih.gov]
  • Prevention Nail bed injuries are mostly accidental. Care should be taken to avoid injury byhandling things safely.[drdamiani.com.au]
  • This needs to be done under sterile conditions to prevent an infection by introducing bacteria into this sterile area.[bonetalks.com]
  • If the nail is torn, trim it short to prevent further trauma. However, in case of a serious injury, you should seek medical advice especially when the injury causes complete nail separation from the bed.[healtreatcure.org]
  • […] present; - nail is removed & matrix carefully sutured; - Treatment: Nail Bed Avulsed: - nail bed laceration is visible; - need for repair of the nail bed is clearly evident; - consider insertion of petroleum gauze between the nail fold and the matrix to prevent[wheelessonline.com]

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