95 results match your criteria: "Nailbed Injuries"
Artificial intelligence-enabled non-invasive ubiquitous anemia screening: The HEMO-AI pilot study on pediatric population.
Digit Health
December 2024
Department of Research & Development, MyOr Diagnostics Ltd., Zichron Yaakov, Israel.
Objective: Determine whether data collected from a smartphone camera can be used to detect anemia in a pediatric population.
Methods: HEMO-AI (Hemoglobin Easy Measurement by Optical Artificial Intelligence), a clinical study carried out from December 2020 to February 2023, recruited patients from the Pediatric Emergency Department, Pediatric Inpatient Department and Pediatric Hematology Unit of the Haemek Medical Center, Afula, Israel. A population-based sample of 823 patients aged 6 months to 18 years who had undergone a venous blood draw for a complete blood count since being admitted to the hospital were enrolled.
Article Synopsis
- This case report discusses a finger injury where the patient had a fingertip amputation but was stable after the incident with controlled blood loss.
- The injury involved the finger pulp and nailbed but didn’t expose the bone.
- Treatment included a split-thickness dermal graft that led to complete healing within two weeks and a return to normal sensation after five months, showcasing a good cosmetic and functional result.
Advances in pediatric emergency from 2023.
Am J Emerg Med
June 2024
Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Article Synopsis
- Most children receive emergency care from general emergency physicians rather than specialized children's hospitals, highlighting the need for tailored approaches in pediatric care.
- The article discusses ten significant studies from 2023 that provide insights for improving emergency care for children, covering topics such as pediatric resuscitation, septic shock, and airway management.
- These findings emphasize the importance of adapting adult medical principles to meet the unique health challenges faced by children in emergency situations.
Acute Hand Injury in Surfing: A Case Report.
Wilderness Environ Med
March 2024
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Article Synopsis
- A case study describes a patient who sustained a hand injury while surfing, initially misdiagnosed for a nailbed injury but later found to have a distal phalanx fracture that required surgery and rehabilitation.
- To reduce injury risk in the future, it’s important to consider fractures in surfing injuries and promote education along with improvements in surfboard leash design.
A Prospective Study of Graft Repositioning over Flap Technique for Reconstruction of Fingertip Amputation.
J Hand Surg Asian Pac Vol
December 2023
All India Institute of Medical Sciences, New Delhi, India.
Article Synopsis
- Replantation of digital tip amputations, specifically Allen III and IV, requires advanced microsurgical skills, and the graft repositioning over flap (GRF) technique has emerged as a straightforward, effective solution for improving finger function post-injury.
- A study was conducted over 12 months on patients who underwent GRF reconstruction for digital amputations, gathering data on demographics, injury details, and various outcomes like graft survival, nail growth, and sensation.
- Out of 20 patients, mostly young men, the results showed some complications, including graft loss, but the GRF technique proved to be a valuable option when replantation was not feasible, restoring length and sensation in most cases.
The Top-Hat Flap: A New Technique for Segmental Nailbed Reconstruction.
Plast Reconstr Surg
September 2024
Article Synopsis
- The study analyzed the use of a "top-hat flap," which utilizes the finger or thumb tip for reconstructing segmental defects in the distal phalanx, nailbed, or pulp in 28 cases over 7 years with a minimum follow-up of 12 months.
- All flaps successfully survived, leading to a high rate of functional recovery, with 75% of patients achieving full motion in the distal interphalangeal joint and 92% returning to work within 3 months.
- The findings suggest that top-hat flaps are effective for treating complex finger injuries, demonstrating a low average digit impairment score of 19%.
What the COVID pandemic taught us about the management of pediatric minor trauma.
J Plast Reconstr Aesthet Surg
September 2023
Alder Hey Children's Hospital, E Prescot Road, Liverpool L14 5AB, United Kingdom.
Article Synopsis
- - The study evaluated the effects of a conservative approach to managing pediatric soft-tissue injuries during the COVID-19 pandemic, focusing on clinical outcomes and patient-reported scarring satisfaction among 240 children treated between April and June 2020.
- - Parents rated scar outcomes, with 86.2% reporting satisfaction; ratings for scars were similar between those who underwent surgery and those managed conservatively.
- - Complications were low, with an overall rate of 5.9%, and the study concluded that conservative management did not negatively impact patient satisfaction or scarring results.
Open hand fractures: a prospective analysis of functional outcomes and risk factors for infection after initial management in the emergency department.
Eur J Orthop Surg Traumatol
December 2023
Department of Orthopedic Surgery, University of Florida, 3450 Hull Road, Third Floor, Room 3341, Gainesville, FL, 32607, USA.
Article Synopsis
- This study investigates the long-term outcomes of open hand fractures initially treated in the emergency department without immediate surgery, using the Michigan Hand Outcomes Questionnaire (MHQ) for evaluation.
- Conducted from 2012 to 2016 at a Level-I trauma center, it included 81 patients and followed them for an average of 8.9 months, comparing infection rates and functional recovery outcomes.
- Findings indicated that while 14% of patients developed infections, the overall functional outcomes were similar regardless of surgery or injury type, suggesting initial ED management can be effective.
Reversed distal laterodigital adipofascial flap for nail-bed reconstruction.
Microsurgery
January 2024
Plastic and Reconstructive Surgery Unit, San Gerardo Hospital, Monza, Italy.
Article Synopsis
- Distal phalange lesions often affect the nail bed, and existing reconstruction methods can lead to scarring and nail issues; the study presents a new surgical technique called the distal adipofascial laterodigital reverse flap.
- This technique was tested on 15 patients with various nail bed injuries, successfully covering fingertip defects and using tissue from the less damaged side of the finger.
- Results showed that all flaps healed well with an average recovery time of 21 days and good nail regrowth, indicating the procedure is effective and has low complications for the donor site.
[Case reports of pediatric electrical finger burn injuries' management and late- onset complications].
Orv Hetil
April 2022
2 Pécsi Tudományegyetem, Klinikai Központ, Általános Orvostudományi Kar, Gyermekgyógyászati Klinika, Manuális Tanszék& Sebészeti, Traumatológiai, Fül-Orr-Gégészeti Osztály Pécs, József Attila u. 7., 7623 Magyarország.
Article Synopsis
- * Case reports highlight two children with severe electrical injuries: a teenage boy's finger and a toddler's thumb, both requiring surgical interventions like necrectomy and skin flaps.
- * Long-term follow-up is essential to monitor for late-onset complications, such as bone atrophy and deformities in these young patients.
Salter-Harris Type III Fracture of the Distal Phalanx: A Rare Juxtaphyseal Variant.
Hand (N Y)
November 2022
Department of Orthopaedic Surgery, Brown University Warren Alpert School of Medicine, Providence, RI, USA.
Article Synopsis
- Juxtaphyseal fractures of the distal phalanges in upper extremities often involve the thumb and are typically classified as Salter-Harris II fractures, which can include injuries to the nailbed, such as a "Seymour fracture."
- Prompt diagnosis is critical to distinguish between types of fractures, as misidentification could lead to complications like physeal arrest.
- The text includes a case study of a patient with a displaced Salter-Harris type III fracture in the thumb, aiming to highlight this rare injury and discuss its management and outcomes based on literature review.
Epidemiology and Outcome of Nailbed Injuries Managed in Children's Emergency Department: A 10-Year Single-Center Experience.
Pediatr Emerg Care
February 2022
From the Children's Emergency, KK Women's and Children's Hospital.
Article Synopsis
- * A study of 457 young patients revealed that males are more frequently affected, with the most common type being simple lacerations with partial nail avulsions.
- * Factors like the type of injury and fractures influence complications and the use of antibiotics, with most repairs done by pediatric emergency doctors.
Fingertip injury epidemiology: an Indian perspective.
J Plast Surg Hand Surg
August 2022
Department of Plastic Surgery, Baby Memorial Hospital, Kozhikode, India.
Article Synopsis
- Fingertip injuries are common but serious, leading to pain, work loss, and financial strain, yet there is limited research on their epidemiology, especially in India.
- A study reviewed four years of data on fingertip injuries, finding that most injuries in children occurred at home, primarily among those under five years old, with door crush incidents being the most frequent cause.
- In adults, the leading causes of fingertip injuries were jamming fingers in two-wheeler chains and cuts from heavy machinery, highlighting the need for safety education to prevent such injuries in both demographics.
Chronic paronychia in cats with patellar fracture and dental anomaly syndrome.
J Feline Med Surg
December 2021
Langford Small Animal Hospital, Langford House, University of Bristol, Bristol, UK.
Article Synopsis
- This case series examined five cats with paronychia who also had patellar fracture and dental anomaly syndrome (PADS), documenting their clinical features and treatment options.
- All affected cats showed multiple digits involved; while some improved with medical management, a majority required amputation of the third phalanx for effective treatment.
- Chronic paronychia could be linked to PADS due to the compromised bone structure and nailbed anatomy, pointing to the need for more research on long-term outcomes and possible surgical interventions.
Grafting and Other Reconstructive Options for Nail Deformities: Indications, Techniques, and Outcomes.
Hand Clin
February 2021
Institute for Plastic Surgery, Southern Illinois University School of Medicine, 747 North Rutledge Street #3, Springfield, IL 62702, USA.
Article Synopsis
- The article reviews the terminology, anatomy, and growth of the perionychium, which is the area around the nails.
- It addresses common issues in hand surgery, especially chronic nailbed deformities resulting from injuries, such as split nails and nonadherence.
- The author shares insights on the causes of these deformities and discusses treatment options, along with tips for surgical techniques and reconstruction planning.
[Treatment of acute injuries of the hand].
Ther Umsch
June 2020
Universitätsklinik für Plastische- und Handchirurgie, Inselspital Bern.
Article Synopsis
- Hand injuries are frequently seen in primary care and can often be treated in emergency departments without needing a hand surgeon.
- Common injuries discussed include nail and nailbed lesions, fingertip amputations, burns, infections, and animal bites, with recommendations for treatment provided.
- The text also emphasizes the importance of local anesthesia methods and discusses alternatives like tourniquets and vasoconstriction techniques, particularly WALANT (Wide Awake Local Anesthesia No Tourniquet).
Reconstruction of motorcycle spokes wheel injury fingertip amputations with reposition flap technique: a report of 40 cases.
Eur J Trauma Emerg Surg
February 2022
Department of Orthopedics, Hand and Reconstructive Microsurgery, Olympia Hospital and Research Centre, 47, 47A Puthur High Road, Puthur, Trichy, Tamilnadu, 620017, India.
Article Synopsis
- - The study examines the challenges and outcomes of replanting amputated fingertips caused by motorcycle spoke injuries, focusing on Allen's type III and IV amputations, which often involve significant damage to the fingertip pulp.
- - Forty patients were treated using a surgical method that repositions the amputated stump with local pedicle flaps, and the results were analyzed over an average follow-up of about 24 months, measuring factors like movement range, sensation, and return to work.
- - Findings showed that this surgical approach is safe and effective, allowing all patients to return to work in about 13 weeks with good functional outcomes, while minimizing complications like finger stiffness and maintaining satisfactory sensation.
Treatment of Fingertip Injuries.
JBJS Rev
April 2020
Georgia Hand, Shoulder, and Elbow, Atlanta, Georgia.
Article Synopsis
- The main goal in treating fingertip injuries is to reduce infection risk while enhancing function, sensation, and appearance of the fingertip.
- Effective treatment involves careful coverage of soft tissue and preserving the nail bed when possible.
- If reattachment of a severed fingertip isn't feasible, using local or regional flap reconstruction can provide quick soft tissue coverage and improve recovery.
Effect of Calcium-Channel Blockade on the Cold-Induced Vasodilation Response.
Wilderness Environ Med
September 2020
University of Utah, Division of Emergency Medicine, Salt Lake City, UT.
Article Synopsis
- Cold-induced vasodilation (CIVD) helps protect extremities from cold injuries, and nifedipine, a calcium-channel blocker, is thought to enhance this response.
- A double-blind study tested nifedipine against a placebo in 12 volunteers, measuring finger temperatures after exposure to cold water.
- The results showed no significant differences in finger temperature or pain levels between the nifedipine and placebo groups, indicating that nifedipine does not improve CIVD.
Experience with the Use of Splint Caps for the Management of Fingertip Amputation Injuries.
J Hand Surg Asian Pac Vol
June 2020
Hand and Reconstructive Microsurgery Service, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore.
Article Synopsis
- * A retrospective study evaluated 28 patients with fingertip amputations, revealing that the splint cap aids healing and maintains functionality, with an average recovery time of about 27.5 days for tissue regrowth and good grip strength reported.
- * Findings suggest that these non-surgical methods can effectively manage such injuries, with 14.8% of patients experiencing nail deformities, and further cost analysis will be discussed in future research.
Management of Pediatric Distal Fingertip Injuries: A Systematic Literature Review.
Plast Reconstr Surg Glob Open
January 2020
Department of Plastic Surgery, St. Thomas' Hospital, London, UK.
Article Synopsis
- - Nail bed and fingertip injuries are the most common hand injuries in kids and can cause significant issues if not treated properly.
- - These injuries can involve various types of damage, including bruises, cuts, crush injuries, and even amputations, often linked with fractures.
- - There is a lack of consistent clinical practices for treating these injuries, and more high-quality studies are needed to improve management strategies for pediatric fingertip injuries.
[Nail trauma, what is it? and how to treat it?].
Semergen
March 2020
Servicio de Radiodiagnóstico, Hospital Universitario de Burgos (HUBU), Burgos, Castilla y León, España.
Article Synopsis
- - The nail plate, made of keratin, protects the tips of fingers and toes while stabilizing them and enhancing fine motor skills.
- - Nail injuries account for up to 8% of hand emergencies, often requiring medical attention due to their impact on appearance and function.
- - Common nail injuries include subungual haematoma and subungual avulsion, which can involve the bone and lead to complications if not treated properly.
Sickle cell microvascular paradox-oxygen supply-demand mismatch.
Am J Hematol
June 2019
Division of Cardiology, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California.
Article Synopsis
- Sickle cell disease (SCD) patients can maintain normal oxygen delivery to the body but still experience tissue damage due to issues in small blood vessels.
- A study compared fingertip blood flow and oxygen levels among transfused SCD patients, non-transfused SCD patients, and healthy controls, showing improvements in some measures for transfused patients but not for microcirculation responses.
- Overall, non-transfused SCD patients showed significant issues with blood flow regulation and oxygen delivery to tissues, while transfusions helped somewhat but did not fully resolve these problems.
Finger Flexion to Noxious Stimulation in a Brain-dead Patient: A Case Report and Review of Literature.
Cureus
November 2018
Neurology, Cleveland Clinic, Cleveland, USA.
Article Synopsis
- * Abnormal reflexive movements, particularly in the upper extremities, can complicate brain death diagnoses by misleadingly suggesting some retained brain function.
- * A case study is presented involving a brain-dead patient who exhibited unexpected finger flexion in response to stimuli, raising questions about the underlying mechanisms, akin to those seen in upper motor neuron injuries.