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    Area of Science:

    • Podiatric medicine
    • Sports medicine
    • Dermatology

    Background:

    • Acute subungual hematoma or seroma affects the toenail in active patients.
    • It results from direct trauma or repetitive shear forces on the nail apparatus.
    • While painful, this condition is generally benign.

    Purpose of the Study:

    • To emphasize the need for accurate diagnosis of underlying nail bed injury or distal phalanx abnormalities.
    • To highlight the importance of prompt treatment for preventing nail plate deformity.
    • To underscore the benefits of rapid fluid evacuation for pain relief and return to activity.

    Main Methods:

    • Clinical assessment of toenail injuries.
    • Diagnostic imaging to evaluate nail bed and distal phalanx.
    • Surgical or procedural fluid evacuation techniques.

    Main Results:

    • Fluid evacuation effectively alleviates pain associated with subungual hematoma or seroma.
    • Accurate diagnosis is crucial for appropriate management and preventing long-term nail deformities.
    • Timely intervention allows for a quicker return to athletic activities.

    Conclusions:

    • Prompt diagnosis and management of acute subungual hematoma or seroma are essential for active patients.
    • Evacuating the fluid offers rapid pain relief and facilitates a swift return to sports.
    • Preventing nail plate deformity through accurate assessment is a key treatment goal.