AI Article Synopsis

  • A 47-year-old man experienced a subungual hematoma in his right thumb after a crush injury, leading to significant pain from pressure under the nail.
  • To treat it, a controlled nail trephination was performed using a special drill that didn't damage the nail bed.
  • The procedure effectively drained the hematoma, providing significant pain relief within 8 hours and making it a quick and low-risk option for similar injuries.

Article 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.

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http://dx.doi.org/10.1016/j.ajem.2006.03.029DOI Listing

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