Fingertip avulsion

Revisión del 03:07 28 mar 2012 de Jswartz (discusión | contribs.) (Created page with "==Background== *Consult hand surgeon for all pts w/ amputation proximal to the lunula ==Management== ===No exposed bone or nail bed involvement=== *Treat conservatively with ser...")
(difs.) ← Revisión anterior | Revisión actual (difs.) | Revisión siguiente → (difs.)

Background

  • Consult hand surgeon for all pts w/ amputation proximal to the lunula

Management

No exposed bone or nail bed involvement

  • Treat conservatively with serial dressing changes alone
    • Cover wound with nonadherent dressing
    • Instruct pt to soak fingertip in antibacterial soap-added water for 10min QD and then rapply nonadherent dressing
    • F/u in 2d

Exposed Bone

  • Rongeur bone if bony protuberance is <0.5cm in length
    • Then let heal by secondary intention as described above

Source

  • Tintinalli