Conservative Treatment for Subungal Hematoma with Tuft Fracture

Authors: Zohair Al Aseri

Management of simple nail bed lacerations and subungual hematomas has remained somewhat controversial. This article presents a 30-year-old case admitted to emergency department (ED) due to subungual hematoma with tuft fracture. The nail was partially loose, and the nail bed seemed more or the less intact. Rest of hand examination was normal. Plain radiographs showed fracture of the distal phalanx. Decision was made not to remove the nail bed and only to release the pressure by trephine technique under sterile condition. The patient was scheduled for ED follow up appointment after one week. During follow-up no complications were encountered. The nail bed recovered completely and the nail plate seemed to develop without any deformities. Eight months after the ED visit there are no complaints about pain, shape or loss of function during daily activities. Since there are no agreed upon protocol or algorithm for subungual hematoma and distal phalanx fracture, the author believe that conservative treatment is still an option for treating tuft fracture with subungual hematoma. You can submit your Manuscripts at:

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[v1] 2017-08-24 02:43:26

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