Nail avulsion - Revision history

Rossdonaldson1: /* Management */

2020-09-10T18:09:21Z

Management

← Revisión anterior		Revisión del 18:09 10 sep 2020
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	==Management==		==Management==
			[[File:PMC3349021 10195 2011 161 Fig2 HTML.png\|thumb\|(a) Fingernail avulsion; (b) polypropylene nail substitute; (c) clinical result at 12 months.]]
	*For partial avulsion, gently lift nail but do not remove to inspect nail bed for laceration		*For partial avulsion, gently lift nail but do not remove to inspect nail bed for laceration
	*For complete avulsion:		*For complete avulsion:

Rossdonaldson1: /* Clinical Features */

2020-09-10T18:03:09Z

Clinical Features

← Revisión anterior		Revisión del 18:03 10 sep 2020
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	==Clinical Features==		==Clinical Features==
	[[File:PMC4029263 dp0402a18g002.png\|thumb\|The lunula and nail bed are exposed. The lunula is pinkish-white in color with a smooth surface. The nail bed is bright red in color with longitudinal dermal ridges stretching from the lunula to the distal groove.]]		[[File:PMC4029263 dp0402a18g002.png\|thumb\|Full nail avulsion. The lunula and nail bed are exposed. The lunula is pinkish-white in color with a smooth surface. The nail bed is bright red in color with longitudinal dermal ridges stretching from the lunula to the distal groove.]]
	*Nail completely or partial removed from nailbed		*Nail completely or partial removed from nailbed
	*May present with concomitant [[nailbed laceration]]		*May present with concomitant [[nailbed laceration]]

Rossdonaldson1: /* Clinical Features */

2020-09-10T18:02:43Z

Clinical Features

← Revisión anterior		Revisión del 18:02 10 sep 2020
Línea 5:		Línea 5:

	==Clinical Features==		==Clinical Features==
			[[File:PMC4029263 dp0402a18g002.png\|thumb\|The lunula and nail bed are exposed. The lunula is pinkish-white in color with a smooth surface. The nail bed is bright red in color with longitudinal dermal ridges stretching from the lunula to the distal groove.]]
	*Nail completely or partial removed from nailbed		*Nail completely or partial removed from nailbed
	*May present with concomitant [[nailbed laceration]]		*May present with concomitant [[nailbed laceration]]

ClaireLewis: /* Evaluation */

2019-09-27T23:00:49Z

Evaluation

← Revisión anterior		Revisión del 23:00 27 sep 2019
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	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	*Obtain xray to check for fracture, dislocation, and foreign body		*Obtain xray to check for [[finger Fracture\|fracture]], [[finger dislocation\|dislocation]], and foreign body
	*Detailed neurovascular exam noting sensation and capillary refill		*Detailed neurovascular exam noting sensation and capillary refill

Rossdonaldson1: /* Differential Diagnosis */

2018-02-25T19:27:13Z

Differential Diagnosis

← Revisión anterior		Revisión del 19:27 25 feb 2018
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{DDX distal finger}}

	{{Hand and finger injury DDX}}		{{Hand and finger injury DDX}}

Mholtz at 05:36, 4 July 2017

2017-07-04T05:36:35Z

← Revisión anterior		Revisión del 05:36 4 jul 2017
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	==Background==		==Background==
			*Generally results from blunt trauma

	[[File:Human nail anatomy.jpg\|thumb\|A. Nail plate; B. lunula; C. root; D. sinus; E. matrix; F. nail bed; G. hyponychium; H. free margin.]]		[[File:Human nail anatomy.jpg\|thumb\|A. Nail plate; B. lunula; C. root; D. sinus; E. matrix; F. nail bed; G. hyponychium; H. free margin.]]
	*Can be complete or partial
	*Result from blunt trauma

	==Clinical Features==		==Clinical Features==
Línea 12:		Línea 12:

	==Evaluation==		==Evaluation==
	*Obtain ~~hand~~ xray to check for fracture, dislocation, and foreign body		*Clinical diagnosis
	*Detailed neurovascular exam ~~of hand~~ noting sensation and capillary refill		*Obtain xray to check for fracture, dislocation, and foreign body
			*Detailed neurovascular exam noting sensation and capillary refill

	==Management==		==Management==
Línea 20:		Línea 21:
	**Repair any [[nailbed laceration]]		**Repair any [[nailbed laceration]]
	**Replace nail into nailfold after cleaning nail and suture into place		**Replace nail into nailfold after cleaning nail and suture into place
	**If no nail, place a non-adherent, petroleum containing gauze into nail fold. Can Also use aluminum wrapping of suture package as pseudo-nail to allow appropriate spacing for new nail to grow in.		**If no nail, place a non-adherent, petroleum containing gauze into nail fold. Can Also use aluminum wrapping of suture package as pseudo-nail to allow appropriate spacing for new nail to grow in. This should be left in place for 2-3 weeks.
			**Wound should be re-evaluated in 3-5 days and gauze replaced<ref>Lammers, R.L. and Smith, Z.E. Chapter 35: Methods of Wound Closure. In: Roberts, J ed. Roberts and Hedges' Clinical Procedures in Emergency Medicine. Elsevier; 2014:644-689</ref>

	==Disposition==		==Disposition==
	*~~Keep nail splint or gauze in place for 2-3 weeks~~		*Discharge
	*Re-eval wound in 3-5 days and if gauze was placed in nailfold replace with new gauze<ref>Lammers, R.L. and Smith, Z.E. Chapter 35: Methods of Wound Closure. In: Roberts, J ed. Roberts and Hedges' Clinical Procedures in Emergency Medicine. Elsevier; 2014:644-689</ref>

	==See Also==		==See Also==


	==External Links==		==External Links==


	==References==		==References==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T15:03:33Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 15:03 24 jul 2016
Línea 11:		Línea 11:
	{{Hand and finger injury DDX}}		{{Hand and finger injury DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Obtain hand xray to check for fracture, dislocation, and foreign body		*Obtain hand xray to check for fracture, dislocation, and foreign body
	*Detailed neurovascular exam of hand noting sensation and capillary refill		*Detailed neurovascular exam of hand noting sensation and capillary refill

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:47:26Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

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	<references/>		<references/>

	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]
	[[Category:Dermatology]]		[[Category:Dermatology]]

Ostermayer: Text replacement - "Category:Derm" to "Category:Dermatology"

2016-03-22T13:14:01Z

Text replacement - "Category:Derm" to "Category:Dermatology"

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	[[Category:Ortho]]		[[Category:Ortho]]
	[[Category:~~Derm~~]]		[[Category:Dermatology]]

Dx316gol at 21:55, 13 October 2015

2015-10-13T21:55:41Z

← Revisión anterior		Revisión del 21:55 13 oct 2015
Línea 20:		Línea 20:
	**Repair any [[nailbed laceration]]		**Repair any [[nailbed laceration]]
	**Replace nail into nailfold after cleaning nail and suture into place		**Replace nail into nailfold after cleaning nail and suture into place
	**If no nail, place a non-adherent, petroleum containing gauze into ~~nailfold~~.		**If no nail, place a non-adherent, petroleum containing gauze into nail fold. Can Also use aluminum wrapping of suture package as pseudo-nail to allow appropriate spacing for new nail to grow in.

	==Disposition==		==Disposition==