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Updated: Aug 13, 2025

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Fingernail injury.

Jefferson Braga Silva1

  • 1Service of Hand Surgery and Reconstructive Microsurgery, São Lucas Hospital, Av. Ipiranga, 6690, Centro Clinico PUCRS, Suite 216, Porto Alegre, RS, 90610-000, Brazil; Hospital Moinhos de Vento, Av. Ramiro Barcelos 910, Porto Alegre, RS, 90035-000, Brazil.

Hand Surgery & Rehabilitation
|January 21, 2023
PubMed
Summary
This summary is machine-generated.

Fingertip injuries, common hand ailments, require careful management, especially with complex soft tissue or bone damage. This review explores treatment options to restore function and sensation, avoiding long-term complications.

Keywords:
FingertipInjuryNail bedNailsSubungueal

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Trauma Care

Background:

  • Fingertip injuries are the most frequent hand injuries.
  • The nail is crucial for digit stability, protection, and fine pinch.
  • Complex injuries involving soft tissue loss and distal phalanx damage present management challenges.

Purpose of the Study:

  • To review various treatment options for fingertip injuries.
  • To guide clinicians in managing complex lesions.
  • To achieve optimal outcomes, minimizing long-term sequelae.

Main Methods:

  • Literature review of current management strategies for fingertip injuries.
  • Analysis of reconstructive techniques for soft tissue and bone defects.
  • Discussion of factors influencing functional recovery.

Main Results:

  • Multiple surgical and non-surgical options exist for fingertip reconstruction.
  • Grafting and flap techniques are vital for soft tissue coverage.
  • Distal phalanx stabilization is key for functional restoration.

Conclusions:

  • Effective management of fingertip injuries requires a tailored approach based on injury complexity.
  • Restoring a painless, functional digit with protective sensation is the primary treatment goal.
  • Early and appropriate intervention can significantly improve patient outcomes and prevent chronic issues.