Damage to thumb nail bed

Figure 2. Replacement with the native nail is preferable to an artificial splint. The nail plate itself is the hard substance on the back of the finger or toe. Diagnosis is made by careful inspection of the nail bed integrity.

Nailbed injuries The British

Your email address will not be published. Pages: 1 2 3 Single Page. No single treatment strategy applies to all nail bed injuries. 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.

Whether you’re dealing with trauma from an injury, infection, or chronic nail biting, understanding how to properly heal damaged nail beds can make the difference between permanent damage and complete recovery. Treatment depends on severity and degree of nail bed injury but generally requires removal of the nail and nail bed repair.

Clinical assessment will guide management. The medical literature includes conflicting recommendations regarding the management of nail bed injuries.

Nail Bed Injury Hand

Crush injury to distal phalanx with laceration and subungual hematoma. When your fingertip or your nail bed is pinched, crushed, or cut, it causes a nail bed injury. Should the nail be replaced? Should the nail be removed? Photos: David Effron, MD.

Click to enlarge. Fingertips are extremely vulnerable to tears, lacerations, and crush injuries that result in damage to the nail, skin, tendons, or bone. What are Nail Bed Injuries? Prompt treatment can help the nail bed and underlying structures heal and ensure that the broken nail grows back smoothly.

Nail removal is generally recommended in cases involving nail margin disruption, significant swelling, or displaced fracture. Many patients with nail bed injuries—more than 50 percent—have an associated fracture. The eponychium (cuticle) and lateral nail folds (raised skin on the sides of the nail) are also part of the nail unit.

The nail bed is underneath the nail plate and is responsible for nail growth and support. Many patients with nail bed injuries—more than 50 percent—have an associated fracture. Figure 1. A score of 12 or less is considered excellent and a score of 13 to 18 is considered good.

Nail bed injury Pictures

A year-old boy presented after a fall from his bicycle with an injury to his right long finger. Patients should be counseled that nail deformity may be permanent or temporary; the nail may take three to 12 months to fully grow and heal.

Accidental injuries to the fingertips are quite commonplace due to the basic function and sheer frequency with which we use our hands on a daily basis. The subsequent injury can range from simple bruising to fractures, or even. When your nail beds are damaged, it’s not just about appearance – it’s about restoring the foundation that supports healthy nail growth.

How to Heal Damaged

Repair and dressing should be tailored to the individual patient, based on assessment of hematoma, laceration, fracture, deformity, and expected prognosis. Nail bed injuries vary in complexity from a simple subungual hematoma to a complex open fracture with nail bed laceration.

Management should be tailored to the extent of the injury and underlying fracture. After trephination and laceration repair with tissue adhesive. Radiographs should be obtained to assess any bony injury. One study found that with intact nail margins, decompression alone had similar outcomes to nail removal and exploration.

Simple subungual hematomas involving less than 50 percent of the nail area can be managed with trephination alone. Management should be tailored to the extent of the injury and underlying fracture. This fracture requires antibiotics and may require operative management, including open reduction and pinning.

Nail bed injuries vary in complexity from a simple subungual hematoma to a complex open fracture with nail bed laceration.

Nail Bed Injury Causes

There are five categories of injury that can occur to the nail. In this article, we explore different types of nail bed injury. In pediatric patients, care should be taken to identify a Seymour fracture, a displaced distal phalangeal physeal fracture with associated nail bed injury.

Clinical assessment will guide management. Crushing can happen when your finger gets caught between two objects or in a doorway.