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]
[…] esp if frx is 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 [wheelessonline.com]
Entire Body System
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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]
Skin
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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]
This nail bed healer lessens the possibility of nail deformity and is safe for women, teens and allergy sufferers. [etsy.com]
Neurologic
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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]
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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]
Workup
Microbiology
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Eikenella
Bite May result in inoculation with flora from the mouth of the animal Eikenella sp. (human bites)—adjunctively treat with amoxicillin-clavulanic acid7 Pasteurella sp. [musculoskeletalkey.com]
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]
Treatment of the Nail Bed The treatment of any nail bed injury is designed to resume typical health of the nail bed. [lahandsurgeon.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]
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 DIP fractures or dislocations Prognosis [orthobullets.com]
Prognosis The prognosis for children with porencephaly varies according to the location and extent of the cysts or cavities. [ninds.nih.gov]
Prognosis Prognosis is variable and depends on the site and extent of the lesion. The documents contained in this web site are presented for information purposes only. [orpha.net]
Etiology
[…] finger Anatomy The nail bed is the layer of epithelial tissue that covers the distal phalanx on which the nail attaches The proximal fold of skin is called the eponychium, and the distal margin the hyponychium The nail bed has a rich neurovascular supply Etiology [dynamed.com]
[…] 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]
Since Heschl's first description, the term "porencephaly" has been widely used to describe etiologically different brain cavities communicating with either the subarachnoid space or the lateral ventricles. [medlink.com]
Etiology Prenatal- and postnatally-acquired cysts (acquired porencephaly) may be due to a number of causes including hemorrhage, local damage from ischemia or traumatic brain injury. [orpha.net]
Epidemiology
[…] is called the eponychium, and the distal margin the hyponychium The nail bed has a rich neurovascular supply Etiology Classic mechanisms of injury:1 Crush injury (such as, hammer, slamming finger in door) Avulsion of the nail off of the finger or toe Epidemiology [dynamed.com]
[…] 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]
(dog or cat bites)—adjunctively treat with amoxicillin-clavulanic acid8 Epidemiology Adult injuries6 Historically occur more commonly in men, likely due to occupational hazards Powered hand tools or fixed powered machines are the top contributors to fingertip [musculoskeletalkey.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]
Pathophysiology
Treatment typically consists of nail plate removal and nail bed repair or trephination, both of which prevent nail loss and deformity when executed properly.2,3 Pathophysiology Blunt or sharp trauma from a crushing injury to the fingertip (eg, from a [handsurgeryresource.com]
[…] 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]
In this article, the author reviews the clinical features and the pathogenetic aspects of porencephaly and provides an update on the pathophysiology of this disorder. [medlink.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]
Proper evaluation and identification of the injury and timely management is critical to preventing a painful, sensitive, or cosmetically unappealing outcome. [musculoskeletalkey.com]
This needs to be done under sterile conditions to prevent an infection by introducing bacteria into this sterile area. [bonetalks.com]
Treatment typically consists of nail plate removal and nail bed repair or trephination, both of which prevent nail loss and deformity when executed properly.2,3 Pathophysiology Blunt or sharp trauma from a crushing injury to the fingertip (eg, from a [handsurgeryresource.com]