Controlled nail trephination for subungual hematoma

Sharon A. Salter, David H. Ciocon, Thiruvallur R. Gowrishankar, Alexa B. Kimball

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

An injury to a finger or toe can result in a collection of blood under the nail plate that if unrelieved can cause extreme discomfort due to pressure. In this case, a 47-year-old man developed a subungual hematoma of the right thumb due to a crush injury. Controlled nail trephination was performed using a uniquely designed drill that penetrated the nail plate without breaching the nail bed. The subungual hematoma was successfully drained, and there was a substantial relief in pain over the subsequent 8 hours. This technique appears to be a quick and convenient method of evacuating subungual hematomas with minimal discomfort and minimal risk.

Original languageEnglish (US)
Pages (from-to)875-877
Number of pages3
JournalAmerican Journal of Emergency Medicine
Volume24
Issue number7
DOIs
StatePublished - Nov 2006
Externally publishedYes

Fingerprint

Trephining
Nails
Hematoma
Mandrillus
Thumb
Toes
Fingers
Pressure
Pain
Wounds and Injuries

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Controlled nail trephination for subungual hematoma. / Salter, Sharon A.; Ciocon, David H.; Gowrishankar, Thiruvallur R.; Kimball, Alexa B.

In: American Journal of Emergency Medicine, Vol. 24, No. 7, 11.2006, p. 875-877.

Research output: Contribution to journalArticle

Salter, Sharon A. ; Ciocon, David H. ; Gowrishankar, Thiruvallur R. ; Kimball, Alexa B. / Controlled nail trephination for subungual hematoma. In: American Journal of Emergency Medicine. 2006 ; Vol. 24, No. 7. pp. 875-877.
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